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PROSPECT CHARTERCARE RWMC, LLC
NPI 1760977136
Internal Medicine - Addiction Medicine in Providence, RI

Active since June 27, 2018
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000(401) 456-2029 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 11, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Prospect Chartercare Rwmc, Llc NPPES

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

PROSPECT CHARTERCARE RWMC, LLC (NPI 1760977136) is a healthcare organization registered as an addiction medicine in Providence, Rhode Island and active in the NPI registry since June 2018. The organization lists Robert Jon Elders, Secretary, as its authorized official.

NPPES Registry Identity

NPI1760977136
Entity TypeOrganization
Primary Taxonomy207RA0401X
Legal Business NamePROSPECT CHARTERCARE RWMC, LLC
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2000 · Fax (401) 456-2029
Phone(401) 456-2000
Fax(401) 456-2029
Organization SubpartNo
Authorized OfficialRobert Jon EldersSecretary · (714) 788-1249
Enumeration DateJune 27, 2018
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2021
✔ NPI 1760977136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
825 CHALKSTONE AVE, Providence, RI 02908
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
IAN M JACOBSON MD
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (330) 493-4443
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
DR. JOHN WESLEY PATRESAN MD
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807

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 Prospect Chartercare Rwmc, LLC's NPI number?

The NPI number for Prospect Chartercare Rwmc, LLC is 1760977136. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is Prospect Chartercare Rwmc, LLC located?

Prospect Chartercare Rwmc, LLC is located at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Prospect Chartercare Rwmc, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

When was this NPI record last updated?

The NPPES record for Prospect Chartercare Rwmc, LLC was last updated on January 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.