Active NPI
Western Coventry Fire District
- Land Ambulance
- Greene, RI
National Provider Identifier
1083682355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 40
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 703817 | Other | HARVARD PILGRIM | |
| P00256794 | Other | RR MEDICARE | |
| 9007888 | Medicaid | RI | |
| 402223 | Other | BLUE CHIP | |
| 0000007888 | Other | RI | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090915000192 | RI | Part B Supplier - Ambulance Service Supplier | 3678629771 | Practice locations: Greene, RI |
National Provider Directory
National Provider DirectoryLocations
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.