Active NPI
West Glocester Fire District
- Ambulance
- Chepachet, RI
National Provider Identifier
1669460028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 68
- Legal business name
- WEST GLOCESTER FIRE DISTRICT
- Practice address
- 2410 Putnam Pike
Chepachet, RI 02814-1147 - Phone
- (401) 568-5532
- Fax
- (401) 568-5532
- NPI assigned
- Oct 11, 2005
- Last updated
- Jan 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Debra Labutti
- Title
- Treasurer
- Phone
- (401) 568-5532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 68 | RI | Primary |
Addresses
Primary practice location
2410 Putnam Pike
Chepachet, RI 02814-1147
Mailing address
2410 Putnam Pike
Chepachet, RI 02814-1147
Phone (401) 568-5532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590009313 | Other | RAILROAD MEDICARE | |
| 9007316 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080920000179 | RI | Part B Supplier - Ambulance Service Supplier | 6709953524 | Practice locations: Chepachet, RI |
National Provider Directory
National Provider DirectoryLocations
2410 Putnam Pike
Chepachet, RI 02814
Phone (401) 568-5532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128988800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673568000000",
"number": "1669460028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 PUTNAM PIKE",
"city": "CHEPACHET",
"state": "RI",
"postal_code": "028141147",
"telephone_number": "401-568-5532",
"fax_number": "401-568-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 PUTNAM PIKE",
"city": "CHEPACHET",
"state": "RI",
"postal_code": "028141147",
"telephone_number": "401-568-5532",
"fax_number": "401-568-5532"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST GLOCESTER FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-11",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A",
"authorized_official_last_name": "LABUTTI",
"authorized_official_first_name": "DEBRA",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "401-568-5532"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "RI",
"license": "68",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590009313",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9007316",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chepachet, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.