Active NPI
Town of Portsmouth
- Land Ambulance
- Portsmouth, RI
National Provider Identifier
1114905718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 29
- 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, 2019
- 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
- Paul D Ford
- Title
- Chief
- Phone
- (401) 683-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000026690 | Other | RI | BLUE CROSS BLUE SHIELD |
| 411294 | Other | BLUE CHIP | |
| 590007148 | Other | RI | RAILROAD MEDICARE |
| 706205 | Other | HARVARD PILGRIM | |
| 820910 | Other | TUFTS HEALTH PLAN | |
| 0000000028100 | Other | BMC HEALTHNET PLAN | |
| 9026690 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031204000092 | RI | Part B Supplier - Ambulance Service Supplier | 4981509866 | Practice locations: Portsmouth, RI |
National Provider Directory
National Provider Directory- Tax ID family
- Portsmouth School Department
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Portsmouth, RI
- NPI 1467849141
-
- Local Education Agency (LEA)
- Portsmouth, RI
- NPI 1609261304
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.