Exeter Fire District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

EMS00166 Issued in RI

Legal business name

EXETER FIRE DISTRICT

Practice address

669 Ten Rod Road
Exeter, RI 02822-0503

Phone

(401) 295-3174

Fax

(401) 295-3175

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Tom Lawrence

Title

Chief

Phone

(401) 295-3174

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1609934603",
    "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": "669 TEN ROD ROAD",
            "city": "EXETER",
            "state": "RI",
            "postal_code": "028220503",
            "telephone_number": "401-295-3174",
            "fax_number": "401-295-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXETER FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-295-3174"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "EMS00166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "9955",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9009955",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "405487",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014833",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Carroll, RN MS NBC-HWC
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• Francisca Hebel Gofton, LICSW
• Lisa Gonzalez, M.ED, BCBA, LBA

• Ambulance in Exeter, RI
• Providers in Exeter, RI by specialty
• Ambulance in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.