Active NPI
Town of South Kingstown
- Land Ambulance
- Wakefield, RI
National Provider Identifier
1356469456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 113
- Legal business name
- TOWN OF SOUTH KINGSTOWN
- Practice address
- 1790 Kingstown Rd
Wakefield, RI 02879-1606 - Phone
- (401) 788-9785
- Fax
- (401) 783-8139
- NPI assigned
- Mar 27, 2007
- Last updated
- Aug 24, 2020
- 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
- Zachary Saul
- Title
- Finance Director
- Phone
- (401) 789-9331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 113 | RI | Primary |
Addresses
Primary practice location
1790 Kingstown Rd
Wakefield, RI 02879-1606
Mailing address
1790 Kingstown Rd
Wakefield, RI 02879-1606
Phone (401) 788-9785
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405281 | Other | RI | BLUECHIP |
| 2764 | Other | RI | BLUECROSS BLUESHIELD |
| 599013315 | Other | RAILROAD MEDICARE | |
| 9002764 | Medicaid | RI | |
| 8190286 | Other | UNITED HEALTH |
Other names 1
- South Kingstown Emergency Medical Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070910000746 | RI | Part B Supplier - Ambulance Service Supplier | 1052404803 | Practice locations: Wakefield, RI |
National Provider Directory
National Provider Directory- Tax ID family
- Elderly Services
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Wakefield, RI
- NPI 1194994251
-
- Adult Day Care Clinic/Center
- Wakefield, RI
- NPI 1669517017
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Orthopaedic Hand Surgery Physician
- Cranston, RI
- NPI 1841249935
Member Of
Locations
1790 Kingstown Rd
Wakefield, RI 02879
Phone (401) 788-9705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598227200000",
"number": "1356469456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1790 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028791606",
"telephone_number": "401-788-9785",
"fax_number": "401-788-9775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1790 KINGSTOWN RD",
"city": "WAKEFIELD",
"state": "RI",
"postal_code": "028791606",
"telephone_number": "401-788-9785",
"fax_number": "401-783-8139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF SOUTH KINGSTOWN",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A",
"authorized_official_last_name": "SAUL",
"authorized_official_first_name": "ZACHARY",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "401-789-9331"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "RI",
"license": "113",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECHIP",
"identifier": "405281",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "2764",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "599013315",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9002764",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH",
"identifier": "8190286",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "South Kingstown Emergency Medical Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "South Kingstown Emergency Medical Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wakefield, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.