Organization Active NPI

Western Coventry Fire District

  • Land Ambulance
  • Greene, RI
National Provider Identifier
1083682355
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
40 Issued in RI
Legal business name
WESTERN COVENTRY FIRE DISTRICT
Practice address
1110 Victory Hwy
Greene, RI 02827-1724
Phone
(401) 397-7520
NPI assigned
Mar 10, 2006
Last updated
Dec 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
James L. Cady
Title
Chief
Phone
(401) 397-7520

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 40 RI
Land Ambulance 3416L0300X 40 RI Primary

Addresses

Primary practice location

1110 Victory Hwy
Greene, RI 02827-1724

Mailing address

PO Box 8879
Cranston, RI 02920-0879
Phone (401) 572-3120

Other identifiers 5

IdentifierTypeStateIssuer
703817OtherHARVARD PILGRIM
P00256794OtherRR MEDICARE
9007888MedicaidRI
402223OtherBLUE CHIP
0000007888OtherRIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090915000192 RI Part B Supplier - Ambulance Service Supplier 3678629771 Practice locations: Greene, RI

National Provider Directory

National Provider Directory

Locations

1110 Victory Hwy
Greene, RI 02827
Phone (401) 397-7520

4661 Flat River Rd
Greene, RI 02827
Phone (401) 397-7520

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1083682355",
    "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": "1110 VICTORY HWY",
            "city": "GREENE",
            "state": "RI",
            "postal_code": "028271724",
            "telephone_number": "401-397-7520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN COVENTRY FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "CADY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-397-7520"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "40",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703817",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00256794",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007888",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "402223",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000007888",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greene, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.