1689618902 NPI number — NEW ENGLAND AMBULANCE SERVICE INC.

Table of content: (NPI 1689618902)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689618902 NPI number — NEW ENGLAND AMBULANCE SERVICE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW ENGLAND AMBULANCE SERVICE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689618902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8627
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CRANSTON
Provider Business Mailing Address State Name:
RI
Provider Business Mailing Address Postal Code:
02920-0627
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-421-1859
Provider Business Mailing Address Fax Number:
401-421-2553

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 MANUEL AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTON
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02919-3906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-421-1859
Provider Business Practice Location Address Fax Number:
401-421-2553
Provider Enumeration Date:
06/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VERNANCIO
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
PRESIDENT & CEO
Authorized Official Telephone Number:
401-421-1859

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  110 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1719882 . This is a "MASS HEALTH PROV ID #" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 202988 . This is a "BC/BS COORDINATED PR ID#" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9009957 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5990006076 . This is a "RAILROAD MEDICARE PROV #" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 53900 . This is a "NEIGHBORHOOD HLT ID #" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 590006076 . This is a "PALMETTO PROV ID #" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 9957-2 . This is a "BC/BS" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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