OrganizationActive
Blackstone Valley Center for Internal Medicine,inc.
NPI 1326188095 · Non-Pharmacy Dispensing Site · Woonsocket, RI
Provider details
- NPI number
- 1326188095
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- MD07911 (RI)
Specialties & taxonomies
Suppliers
Practice location
191 Social St
Suite 840
Woonsocket, RI 02895-3240
Phone: (401) 762-2535
Fax: (401) 762-2858
Approximate (ZIP-level) locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2012-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.