Organization Name: | PAWTUXET VALLEY MEDICAL, INC |
NPI Number: | 1043431018 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL F. COLLINS (PRESIDENT) |
Mailing Address: | 982 Tiogue Ave Coventry |
State: | RI US |
Postal Code: | 028166167 |
Phone Number: | 4018216800 |
Fax Number: | 4018218513 |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 02/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 4612 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |