Organization Active NPI

Town of Portsmouth

  • Land Ambulance
  • Portsmouth, RI
National Provider Identifier
1114905718
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
29 Issued in RI
Legal business name
TOWN OF PORTSMOUTH
Practice address
2300 E Main Rd
Portsmouth, RI 02871-4023
Phone
(401) 683-1200
Fax
(401) 683-1206
NPI assigned
Jan 4, 2006
Last updated
Jun 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Paul D Ford
Title
Chief
Phone
(401) 683-1200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 29 RI
Land Ambulance 3416L0300X 29 RI Primary

Addresses

Primary practice location

2300 E Main Rd
Portsmouth, RI 02871-4023

Mailing address

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

Other identifiers 7

IdentifierTypeStateIssuer
0000026690OtherRIBLUE CROSS BLUE SHIELD
411294OtherBLUE CHIP
590007148OtherRIRAILROAD MEDICARE
706205OtherHARVARD PILGRIM
820910OtherTUFTS HEALTH PLAN
0000000028100OtherBMC HEALTHNET PLAN
9026690MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031204000092 RI Part B Supplier - Ambulance Service Supplier 4981509866 Practice locations: Portsmouth, RI

National Provider Directory

National Provider Directory
Tax ID family
Portsmouth School Department3 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.

Locations

2200 E Main Rd
Portsmouth, RI 02871
Phone (401) 683-1200

2300 E Main Rd
Portsmouth, RI 02871
Phone (401) 683-1200

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1114905718",
    "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": "2300 E MAIN RD",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028714023",
            "telephone_number": "401-683-1200",
            "fax_number": "401-683-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PORTSMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-04",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-683-1200"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "29",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "29",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000026690",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "411294",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007148",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "706205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "820910",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "0000000028100",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9026690",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.