OrganizationActive
Memorial Hospital of Rhode Island Physicians, Inc.
NPI 1972644599 · Non-Pharmacy Dispensing Site · Pawtucket, RI
Provider details
- NPI number
- 1972644599
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Authorized official
- Kenny Heine, Director of Operations
- License
- MD08573 (RI)
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2013-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.