Providence Va Medical Center
NPI #1114940681 in Providence, Rhode Island
Provider Information
- NPI Number
- 1114940681
- Entity Type
- Organization
- Organization Name
- Providence Va Medical Center
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 830 CHALKSTONE AVENUE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02098-4799
- Phone
- (401) 273-7100
Authorized Official
- Name
- DR. ALLAN D. ERICKSON, MD
- Title
- CHIEF STAFF
- Phone
- (401) 273-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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