Organization Active NPI

Prudence Island Volunteer Fire Department Inc

  • Ambulance
  • Prudence Island, RI
National Provider Identifier
1427594084
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
EMS00106 Issued in RI
Legal business name
PRUDENCE ISLAND VOLUNTEER FIRE DEPARTMENT INC
Practice address
292 Narragansett Ave
Prudence Island, RI 02872-0305
Phone
(401) 683-1100
NPI assigned
Jan 6, 2017
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Robert F Thurber Jr.
Title
Chief
Phone
(401) 683-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X EMS00106 RI Primary

Addresses

Primary practice location

292 Narragansett Ave
Prudence Island, RI 02872-0305

Mailing address

PO Box 8879
Cranston, RI 02920-0879
Phone (401) 572-3120

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170202002599 RI Part B Supplier - Ambulance Service Supplier 4385927094 Practice locations: Prudence Island, RI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1427594084",
    "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": "292 NARRAGANSETT AVE",
            "city": "PRUDENCE ISLAND",
            "state": "RI",
            "postal_code": "028720305",
            "telephone_number": "401-683-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENCE ISLAND VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "THURBER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-683-1100",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "EMS00106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.