Provider Demographics
NPI:1952304214
Name:P.C.S.-BRIDGEVIEW, INC.
Entity Type:Organization
Organization Name:P.C.S.-BRIDGEVIEW, INC.
Other - Org Name:PATIENT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TRUDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:CONROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-848-2043
Mailing Address - Street 1:510 E MAIN RD
Mailing Address - Street 2:UNIT 12
Mailing Address - City:MIDDLETOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02842-5277
Mailing Address - Country:US
Mailing Address - Phone:401-848-2043
Mailing Address - Fax:401-846-3211
Practice Address - Street 1:510 E MAIN RD
Practice Address - Street 2:UNIT 12
Practice Address - City:MIDDLETOWN
Practice Address - State:RI
Practice Address - Zip Code:02842-5277
Practice Address - Country:US
Practice Address - Phone:401-848-2043
Practice Address - Fax:401-846-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI29380OtherNEIGHBORHOOD HEALTH PRO #
RI8704541Medicaid
MA1536311Medicaid
RI24798OtherBCBS OF RH PROVIDER #
RI8704541Medicaid