Organization Active NPI

Eastern Star EMS

  • Land Ambulance
  • Pawtucket, RI
National Provider Identifier
1639410327
Registry record updated Mar 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EASTERN STAR EMS
Practice address
31 Blodgett Ave
Pawtucket, RI 02860-5621
Phone
(401) 323-8762
Fax
(401) 723-6287
NPI assigned
Mar 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2013

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

Authorized official

Name
Mr. Arakel Akashay Mikaelian IIINPI 1528324035
Title
Owner/Paramedic
Phone
(401) 323-8762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

31 Blodgett Ave
Pawtucket, RI 02860-5621

Mailing address

31 Blodgett Ave
Pawtucket, RI 02860
Phone (401) 323-8762

Other names 1

  • Eastern Star Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362528000000",
    "number": "1639410327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 BLODGETT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "02860",
            "telephone_number": "401-323-8762",
            "fax_number": "401-723-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 BLODGETT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028605621",
            "telephone_number": "401-323-8762",
            "fax_number": "401-723-6287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN STAR EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A",
        "authorized_official_last_name": "MIKAELIAN",
        "authorized_official_first_name": "ARAKEL",
        "authorized_official_middle_name": "AKASHAY",
        "authorized_official_title_or_position": "OWNER/PARAMEDIC",
        "authorized_official_telephone_number": "401-323-8762",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Star",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawtucket, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.