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NPI 1417099797

OrganizationActive

Atmed Primary Care Inc.

NPI 1417099797 · Non-Pharmacy Dispensing Site · Johnston, RI

Provider details

NPI number: 1417099797
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc.
Authorized official: Kenny Heine, Director of Operations
License: MD09755 (RI)

Practice location

1526 Atwood Ave

Suite 105

Johnston, RI 02919-3289

Phone: (401) 272-5468

More RI providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Registry dates

Enumerated: 2007-02-13
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.

Atmed Primary Care Inc. — NPI 1417099797, Johnston, RI | NPI Central