Mpch
NPI #1184010118 in Providence, Rhode Island
Provider Information
- NPI Number
- 1184010118
- Entity Type
- Organization
- Organization Name
- Mpch
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MHM HEALTH PROFESSIONAL INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Apr 7, 2015
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 149 POMONA AVE
- City
- Providence
- State
- Rhode Island
- ZIP Code
- 02908-5123
- Phone
- (978) 425-4341
Authorized Official
- Name
- THOMAS GROBLEWSKI, DO
- Title
- STATEWIDE MEDICAL DIRECTOR
- Phone
- (781) 706-1052
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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