Provider Demographics
NPI:1801108659
Name:RHODE ISLAND HOSPITAL
Entity type:Organization
Organization Name:RHODE ISLAND HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SVP, FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-444-7914
Mailing Address - Street 1:117 ELLENFIELD ST STE 101
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02905-4541
Mailing Address - Country:US
Mailing Address - Phone:401-444-6779
Mailing Address - Fax:401-444-6912
Practice Address - Street 1:55 CLAVERICK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4144
Practice Address - Country:US
Practice Address - Phone:401-490-4161
Practice Address - Fax:401-455-1292
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHODE ISLAND HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-07-09
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRI81890Medicaid