Provider Demographics
NPI:1770459919
Name:EMERGE HEALTH AND COMMUNITY SERVICES
Entity type:Organization
Organization Name:EMERGE HEALTH AND COMMUNITY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSKELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-743-0271
Mailing Address - Street 1:767 PROVIDENCE ST
Mailing Address - Street 2:
Mailing Address - City:WEST WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02893-1526
Mailing Address - Country:US
Mailing Address - Phone:401-743-0271
Mailing Address - Fax:
Practice Address - Street 1:767 PROVIDENCE ST
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-1526
Practice Address - Country:US
Practice Address - Phone:401-743-0271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty