1851526073 NPI number — BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851526073 NPI number — BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT, 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:
1851526073
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/18/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 20104
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:
02920-0927
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:
10 BEACH AVE
Provider Second Line Business Practice Location Address:
BOX 781
Provider Business Practice Location Address City Name:
BLOCK ISLAND
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02807-0781
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-466-3220
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MCCONVILLE
Authorized Official First Name:
KATHLEEN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CAPTAIN
Authorized Official Telephone Number:
401-466-3220

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , 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)





Copyright © 2007-2024 www.npivalidator.com