Provider Demographics
NPI: | 1982057808 |
---|---|
Name: | NEC WEST WARWICK EMERGENCY CENTER |
Entity Type: | Organization |
Organization Name: | NEC WEST WARWICK EMERGENCY CENTER |
Other - Org Name: | WEST WARWICK EMERGENCY CENTER |
Other - Org Type: | Other Name |
Authorized Official - Title/Position: | DIRECTOR OF BILLING AND COLLECTIONS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BRANDY |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | PERRY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 713-781-4500 |
Mailing Address - Street 1: | PO BOX 4562 |
Mailing Address - Street 2: | MSC 600 |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77210-4562 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-781-4500 |
Mailing Address - Fax: | 713-781-4800 |
Practice Address - Street 1: | 325 QUAKER LN |
Practice Address - Street 2: | |
Practice Address - City: | WEST WARWICK |
Practice Address - State: | RI |
Practice Address - Zip Code: | 02893-2122 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-781-4500 |
Practice Address - Fax: | 713-781-4800 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2016-07-15 |
Last Update Date: | 2016-07-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QE0002X | Ambulatory Health Care Facilities | Clinic/Center | Emergency Care |