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RI DEPARTMENF OF CORRECTIONS
NPI 1629168901
Physician Assistant - Medical in Cranston, RI

Active since October 15, 2006CLIA 41D2181774 · Waiver
39 HOWARD AVE, CRANSTON, RI 02920(401) 462-2268(401) 462-2625 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Ri Departmenf Of Corrections NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RI DEPARTMENF OF CORRECTIONS (NPI 1629168901) is a healthcare organization registered as a medical in Cranston, Rhode Island and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 9, 2028 and lists Michael T. Poshkus, Medical Program Director, as its authorized official.

NPPES Registry Identity

NPI1629168901
Entity TypeOrganization
Primary Taxonomy363AM0700X
Legal Business NameRI DEPARTMENF OF CORRECTIONS
Location Address39 HOWARD AVECranston, RI 02920-3001
Mailing Address147 Seascape AveMiddletown, RI 02842-5852 · (401) 846-9628
Phone(401) 462-2268
Fax(401) 462-2625
Organization SubpartNo
Authorized OfficialMichael T. PoshkusMedical Program Director · (401) 462-1115
Enumeration DateOctober 15, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1629168901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in RI · PA00221
39 HOWARD AVE, Cranston, RI 02920
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 41D2181774

Ri Department Of Corrections · Cranston, RI
Active · expires Apr 9, 2028
CLIA Number41D2181774
Laboratory TypePrison
Certificate Effective DateApril 10, 2026
Certificate Expiration DateApril 9, 2028
Laboratory DirectorJennifer G. Clarke MD Mph
Laboratory Phone(401) 462-1115
Laboratory LocationRi Department Of Corrections39 Howard Avenue, Cranston, RI 02920
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHRISTOPHER SALAS MD
Internal Medicine (Infectious Disease)
39 HOWARD AVE
CRANSTON, RI 02920
Providence County (508) 254-6104
AMY AUDET LCSW, LCDP
Social Worker
39 HOWARD AVE
CRANSTON, RI 02920
Providence County (401) 462-3469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ri Departmenf Of Corrections's NPI number?

The NPI number for Ri Departmenf Of Corrections is 1629168901. It was assigned to this organization in the NPPES registry on October 15, 2006.

Where is Ri Departmenf Of Corrections located?

Ri Departmenf Of Corrections is located at 39 Howard Ave, Cranston, RI 02920. The listed phone number is (401) 462-2268.

What is Ri Departmenf Of Corrections's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Does Ri Departmenf Of Corrections hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 41D2181774) is associated with this NPI, valid through April 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Ri Departmenf Of Corrections was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.