Organization Active NPI

Town of Middletown

  • Land Ambulance
  • Middletown, RI
National Provider Identifier
1396729604
Registry record updated Oct 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
53 Issued in RI
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

Updated by the provider on Oct 20, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0000027583OtherRIBLUE CROSS BLUE SHIELD
807838OtherTUFTS HEALTH PLAN
9003332MedicaidRI
AA6127OtherHARVARD PILGRIM
BQ411580OtherBLUE CHIP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040421001254 RI Part B Supplier - Ambulance Service Supplier 0042206591 Practice locations: Middletown, RI

National Provider Directory

National Provider Directory
Tax ID family
Town of Middletown5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.