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Export Provider Record NPI 1396090536
Blackstone Medical Center, Inc.
Organization Subpart: YES
Active
NPI Number1396090536
NPI TypeNPI-2 Organization
SpecialtyOrthopaedic Surgery
Provider Details
NPI1396090536
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2012-07-13
Last Updated2012-08-01
Authorized OfficialJames Renna
CFO
Phone: 6174194772
Mailing AddressPo Box 845582
Boston, MA 02284-5582
United States
Phone: (401) 769-4100 | Fax: (401) 766-9575
📍 View Map
Primary Practice Address219 Cass Avenue
Woonsocket, RI 02895-4741
United States
Phone: (401) 769-4100 | Fax: (401) 766-9575
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No207R00000X – Internal MedicineRI00117
No208600000X – SurgeryRI00117
No2086X0206X – Surgery, Surgical OncologyRI00117
Yes207X00000X – Orthopaedic SurgeryRI00117
Export Provider Record NPI 1396090536
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About NPI 1396090536

Blackstone Medical Center, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1396090536. The primary specialty listed is Orthopaedic Surgery. The organization is located in Woonsocket, RI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2012-07-13. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1396090536?

NPI 1396090536 belongs to Blackstone Medical Center, Inc., a Orthopaedic Surgery in Woonsocket, RI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1396090536 active?

The current status of NPI 1396090536 in the NPPES registry is Active. The record was last updated on 2012-08-01.

What specialty is NPI 1396090536?

NPI 1396090536 is classified under the taxonomy Orthopaedic Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1396090536?

You can verify NPI 1396090536 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1396090536?

The primary practice address on file for NPI 1396090536 is 219 Cass Avenue, Woonsocket, RI 02895-4741. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1396090536 issued?

NPI 1396090536 was first issued (enumerated) on 2012-07-13. The NPPES record was last updated on 2012-08-01.

Practice Location Map

Blackstone Medical Center, Inc. is located at 219 Cass Avenue, Woonsocket, RI. Use the map below to find directions or verify the practice location.

📍 219 Cass Avenue, Woonsocket, RI 02895-4741  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Blackstone Medical Center, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1396090536. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Internal Medicine00117RI
Surgery00117RI
Surgery, Surgical Oncology00117RI
Orthopaedic Surgery00117RI
Data Verified from CMS NPPES Last synced: 2026-08-23 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162