Hope Valley Ambulance Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18 Issued in RI

Legal business name

HOPE VALLEY AMBULANCE SQUAD INC

Practice address

5 Fairview Ave
Hope Valley, RI 02832-0205

Phone

(401) 539-2839

NPI assigned

Jul 21, 2006

Last updated

Feb 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard A Kenney

Title

Treasurer

Phone

(401) 539-2839

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391731200000",
    "number": "1235150806",
    "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": "5 FAIRVIEW AVE",
            "city": "HOPE VALLEY",
            "state": "RI",
            "postal_code": "028320205",
            "telephone_number": "401-539-2839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE VALLEY AMBULANCE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2014-02-07",
        "status": "A",
        "authorized_official_last_name": "KENNEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "401-539-2839",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9013042",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PROV",
            "identifier": "81-09003",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP PROVIDER ID",
            "identifier": "402985",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER ID",
            "identifier": "13042",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alison Hoffman, RN
• Hayley Jackson, APRN
• Kristen Lee Kandzerski, LMT
• Sandra Kelley, PA
• KG Ranch Road Group Home
• Christine M King, LMHC-A

• Land Ambulance in Hope Valley, RI
• Providers in Hope Valley, RI by specialty
• Land Ambulance in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.