Provider Demographics
NPI:1205311263
Name:YELLOW HORSE INC.
Entity type:Organization
Organization Name:YELLOW HORSE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-249-1520
Mailing Address - Street 1:2552 TEN ROD RD
Mailing Address - Street 2:
Mailing Address - City:EXELER
Mailing Address - State:RI
Mailing Address - Zip Code:02822
Mailing Address - Country:US
Mailing Address - Phone:401-249-1520
Mailing Address - Fax:
Practice Address - Street 1:2552 TEN ROD RD.
Practice Address - Street 2:
Practice Address - City:EXELER
Practice Address - State:RI
Practice Address - Zip Code:02822
Practice Address - Country:US
Practice Address - Phone:401-249-1520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty