1821116930 NPI number — TOWN OF BRISTOL

Table of content: (NPI 1821116930)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821116930 NPI number — TOWN OF BRISTOL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOWN OF BRISTOL
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:
BRISTOL FIRE DEPARTMENT
Provider Other Organization Name Type Code:
3
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:
1821116930
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8879
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:
02920-0879
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
401-572-3120
Provider Business Mailing Address Fax Number:
401-572-3351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 ANNAWAMSCUTT DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRISTOL
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02809-4200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-253-6912
Provider Business Practice Location Address Fax Number:
401-253-6610
Provider Enumeration Date:
03/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
J
Authorized Official Title or Position:
CHIEF
Authorized Official Telephone Number:
401-253-6912

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  74 , registered in the state of RI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X , with the licence number: 74 , 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: 8190294 . This is a "UNITED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9007792 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 404982 . This is a "BLUECHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 7792 . This is a "BLUECROSS BLUESHIELD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 590013487 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com