Organization Active NPI

West Glocester Fire District

  • Ambulance
  • Chepachet, RI
National Provider Identifier
1669460028
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
68 Issued in RI
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
590009313OtherRAILROAD MEDICARE
9007316MedicaidRI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080920000179 RI Part B Supplier - Ambulance Service Supplier 6709953524 Practice locations: Chepachet, RI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.