Provider Demographics
NPI:1811083579
Name:HC WATSON CORPORATION INTERIM HEALTHCARE OF BUFFALO INC
Entity type:Organization
Organization Name:HC WATSON CORPORATION INTERIM HEALTHCARE OF BUFFALO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE CONTROLLER
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:ALUNNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-777-9090
Mailing Address - Street 1:300 ROSEWOOD DRIVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923
Mailing Address - Country:US
Mailing Address - Phone:978-777-9090
Mailing Address - Fax:978-777-6896
Practice Address - Street 1:245 WATERMAN STREET
Practice Address - Street 2:SUITE 308
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906
Practice Address - Country:US
Practice Address - Phone:401-272-3520
Practice Address - Fax:401-331-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI02221251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIIH05345Medicaid
RIIH05345Medicaid