Coventry Primary Care Associates, Inc.

NPI #1508906330 in Coventry, Rhode Island

Provider Information

NPI Number
1508906330
Entity Type
Organization
Organization Name
Coventry Primary Care Associates, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
MEDVANTX, INC.
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Feb 8, 2007
Last Updated
Oct 22, 2012

Practice Location

Address
1620 NOOSENECK HILL RD
ZIP Code
02816-6705
Phone
(401) 821-6981

Authorized Official

Name
KENNY HEINE
Title
DIRECTOR OF OPERATIONS
Phone
(858) 625-2990

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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