Charlestown Ambulance & Rescue Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHARLESTOWN AMBULANCE & RESCUE SERVICE, INC.

Practice address

4891 Old Post Rd
Charlestown, RI 02813-1819

Phone

(401) 364-3742

Fax

(401) 364-5438

NPI assigned

Oct 11, 2005

Last updated

Jan 18, 2024By 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

Andrew Kettle

Title

Chief

Phone

(401) 364-3742

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian R. Doucette, CRNA

  • Certified Registered Nurse Anesthetist
  • Wakefield, RI
  • NPI 1285220012
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1528056991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028130346",
            "telephone_number": "401-364-3742",
            "fax_number": "401-364-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4891 OLD POST RD",
            "city": "CHARLESTOWN",
            "state": "RI",
            "postal_code": "028131819",
            "telephone_number": "401-364-3742",
            "fax_number": "401-364-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLESTOWN AMBULANCE & RESCUE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "KETTLE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-364-3742"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "10",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009951",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590007904",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Back Road Group Home
• Doreene Schachner Carr, RN
• Robert Casci, D.O.
• Teresa M Castagna, LCSW
• Alice M Cesana, MA, LMHC
• Charlestown Physical Therapy and Health Services LLC
• Makayla Clarke, ATC, LAT
• Cindy Marie Coite, LICSW
• Elyse Connolly
• Stuart Demirs, M.D.

• Land Ambulance in Charlestown, RI
• Providers in Charlestown, 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 Jan 18, 2024; 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.