Active NPI
Town of Middletown
- Land Ambulance
- Middletown, RI
National Provider Identifier
1396729604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 53
- Legal business name
- TOWN OF MIDDLETOWN
- Practice address
- 350 E Main Rd
Middletown, RI 02842-7264 - Phone
- (401) 846-4478
- NPI assigned
- Nov 30, 2005
- 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
- Lyn Dible
- Title
- Finance Director
- Phone
- (401) 846-4478
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 53 | RI | |
| Land Ambulance | 3416L0300X | 53 | RI | Primary |
Addresses
Primary practice location
350 E Main Rd
Middletown, RI 02842-7264
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000027583 | Other | RI | BLUE CROSS BLUE SHIELD |
| 807838 | Other | TUFTS HEALTH PLAN | |
| 9003332 | Medicaid | RI | |
| AA6127 | Other | HARVARD PILGRIM | |
| BQ411580 | Other | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040421001254 | RI | Part B Supplier - Ambulance Service Supplier | 0042206591 | Practice locations: Middletown, RI |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Middletown
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Portsmouth, RI
- NPI 1366577447
-
- Local Education Agency (LEA)
- Portsmouth, RI
- NPI 1952436032
-
- Local Education Agency (LEA)
- Middletown, RI
- NPI 1124877634
-
- Local Education Agency (LEA)
- Middletown, RI
- NPI 1770356974
Locations
350 E Main Rd
Middletown, RI 02842
Phone (401) 846-4478
239 Wyatt Rd
Middletown, RI 02842
Phone (401) 846-7888
Ownership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Local Education Agency (LEA)
- Middletown, RI
- NPI 1124877634
-
- Local Education Agency (LEA)
- Middletown, RI
- NPI 1770356974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382227200000",
"number": "1396729604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E MAIN RD",
"city": "MIDDLETOWN",
"state": "RI",
"postal_code": "028427264",
"telephone_number": "401-846-4478"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MIDDLETOWN",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-30",
"last_updated": "2013-10-20",
"status": "A",
"authorized_official_last_name": "DIBLE",
"authorized_official_first_name": "LYN",
"authorized_official_title_or_position": "FINANCE DIRECTOR",
"authorized_official_telephone_number": "401-846-4478"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "RI",
"license": "53",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "RI",
"license": "53",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0000027583",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "807838",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9003332",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA6127",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "BQ411580",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2013; 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.