Town of Cumberland

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5 Issued in RI

Legal business name

TOWN OF CUMBERLAND

Practice address

1512 Mendon Rd
Cumberland, RI 02864-4815

Phone

(401) 334-3090

Fax

(401) 334-3113

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John N Pliakas Sr.

Title

Director

Phone

(401) 334-3090

Specialties & licenses 2

Addresses

Other identifiers 7

Other names 1

• Town of Cumberland Rescue Service Doing business as

Medicare fee-for-service enrollment

Enrolled in RI2 enrollments

Enrollment records 2

Tax ID family

Town of Cumberland3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Cumberland Public Schools

  • Local Education Agency (LEA)
  • Cumberland, RI
  • NPI 1356470272
  NPD tax ID
• Cumberland Public Schools

  • Local Education Agency (LEA)
  • Cumberland, RI
  • NPI 1770798621
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1013031673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8879",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200879",
            "telephone_number": "401-572-3120",
            "fax_number": "401-572-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028644815",
            "telephone_number": "401-334-3090",
            "fax_number": "401-334-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CUMBERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "PLIAKAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "401-334-3090",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "5",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "8109829",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007324",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013505",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "27978",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "604066",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "204473",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS RI",
            "identifier": "7324",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Cumberland Rescue Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Cumberland, RI
• Land Ambulance in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.