Prospect Chartercare Sjhsri, LLC
NPI 1588089759ActiveOrganization· Internal Medicine· North Providence, RI
Internal Medicine in North Providence, Rhode Island, registered in NPPES in February 2014. The authorized official on file is Robert Jon Elders, Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588089759 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 25, 2014 |
| Last updated in NPPES | Dec 21, 2020 |
| Certified by provider | Dec 21, 2020 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (RI) |
|---|
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