Organization Name: | EMMA PENDLETON BRADLEY HOSPITAL |
NPI Number: | 1164627352 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY WAKEFIELD (EXECUTIVE VP & CFO) |
Mailing Address: | 1011 Veterans Memorial Pkwy Riverside |
State: | RI US |
Postal Code: | 029155061 |
Phone Number: | 4014445640 |
Fax Number: | |
NPI Enumeration Date: | 06/18/2007 |
NPI Last Update Date: | 07/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | HOS00123 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | RI |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |