1891782173 NPI number — CENTRAL COVENTRY FIRE DISTRICT

Table of content: (NPI 1891782173)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891782173 NPI number — CENTRAL COVENTRY FIRE DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRAL COVENTRY FIRE DISTRICT
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:
1891782173
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 NORFOLK AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOUTH EASTON
Provider Business Mailing Address State Name:
MA
Provider Business Mailing Address Postal Code:
02375-1911
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:
240 ARNOLD ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COVENTRY
Provider Business Practice Location Address State Name:
RI
Provider Business Practice Location Address Postal Code:
02816-5646
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
401-825-7800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
LAMB
Authorized Official First Name:
PETER
Authorized Official Middle Name:
Authorized Official Title or Position:
FIRE CHIEF
Authorized Official Telephone Number:
401-835-7801

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  17 , 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: 17 , 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: 702708 . This is a "HARVARD PILGRIM" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".
  • Identifier: 0019683 . This is a "NEIGHBORHOOD HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 805091 . This is a "SECURE HORIZONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9007334 , issued by the state of ( RI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000007334 . This is a "BLUE CROSS BLUE SHEILD" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".
  • Identifier: 590015107 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 805091 . This is a "TUFTS HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: BQ408686 . This is a "BLUE CHIP" identifier , issued by the state of ( RI ) . This identifiers is of the category "OTHER".




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