Memorial Hospital
Memorial Hospital is a healthcare organization registered as General Acute Care Hospital in Pawtucket, RI, holding Type 2 (organization) NPI 1063441640 since 2006. The authorized official on file is Francis Dietz, Ceo/ President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063441640 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Memorial Hospital |
| Other name | <Unavail> |
| Practice address | 111 BREWSTER ST, Pawtucket, RI, 02860 |
| Phone | 4017292836 |
| Fax | 4017292721 |
| Enumeration date | 2006-07-03 |
| Last updated in NPPES | 2007-11-30 |
Authorized official
| Name | Francis Dietz |
|---|---|
| Title | Ceo/ President |
| Phone | 4017292130 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208M00000X | Hospitalist Physician | Secondary | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | Secondary | — | — |
| 208D00000X | General Practice Physician | Secondary | — | — |
| 207Q00000X | Family Medicine Physician | Secondary | — | — |
| 207RI0200X | Infectious Disease Physician | Secondary | — | — |
| 2083P0901X | Public Health & General Preventive Medicine Physician | Secondary | — | — |
| 208000000X | Pediatrics Physician | Secondary | — | — |
| 2084N0400X | Neurology Physician | Secondary | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | Secondary | — | — |
| 207N00000X | Dermatology Physician | Secondary | — | — |
| 207P00000X | Emergency Medicine Physician | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Secondary | — | — |
| 207RH0003X | Hematology & Oncology Physician | Secondary | — | — |
| 207RP1001X | Pulmonary Disease Physician | Secondary | — | — |
| 282N00000X | General Acute Care Hospital | Primary | HOS00128 | RI |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7000979 | Medicaid | MA | — |
| 410001 | Medicaid | RI | — |
| 7200811 | Medicaid | MA | — |
| MH11562 | Medicaid | RI | — |
Copy-ready billing details
Provider: Memorial Hospital NPI: 1063441640 Taxonomy: 282N00000X (General Acute Care Hospital) Address: 111 BREWSTER ST, Pawtucket, RI, 02860
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275534281 | Zsolt Orban | Individual | Endocrinology, Diabetes & Metabolism Physician | Pawtucket, RI |
| 1376536664 | Peter Baziotis | Individual | Anesthesiology Physician | Pawtucket, RI |
| 1265425474 | Susan Walker | Individual | Anesthesiology Physician | Pawtucket, RI |
| 1508847377 | David Anthony | Individual | Family Medicine Physician | Pawtucket, RI |
| 1558342311 | Gowri Anandarajah | Individual | Family Medicine Physician | Pawtucket, RI |
| 1477536415 | Rabin Chandran | Individual | Family Medicine Physician | Pawtucket, RI |
| 1942283841 | Charles Eaton | Individual | Family Medicine Physician | Pawtucket, RI |
| 1356324248 | Joseph Diaz | Individual | Internal Medicine Physician | Pawtucket, RI |
Verify this record
Cross-check NPI 1063441640 against the authoritative CMS record: view Memorial Hospital on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Memorial Hospital?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-11-30.