City of Pawtucket Rhode Island

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

EMS00028 Issued in RI

Legal business name

CITY OF PAWTUCKET RHODE ISLAND

Practice address

137 Roosevelt Ave
Pawtucket, RI 02860-2129

Phone

(401) 728-0500

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Irina Gorman

Title

Treasurer

Phone

(401) 728-0500

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Pawtucket Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Tax ID family

Pawtucket School Department3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pawtucket School Department

  • Local Education Agency (LEA)
  • Pawtucket, RI
  • NPI 1326176868
  NPD tax ID
• Pawtucket School Department

  • Local Education Agency (LEA)
  • Pawtucket, RI
  • NPI 1386771426
  NPD tax ID

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753315200000",
    "number": "1679612477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 547",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900547",
            "telephone_number": "734-224-4474",
            "fax_number": "336-791-0196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ROOSEVELT AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028602129",
            "telephone_number": "401-728-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PAWTUCKET RHODE ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A",
        "authorized_official_last_name": "GORMAN",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "401-728-0500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "EMS00028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBOR HEALTH",
            "identifier": "27812",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007303",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "23823",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "203239",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawtucket Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PO-Hun Chou, PHD
• Marisa Ciccone, LCDP
• Ronald G Ciccone
• Peter James Ciorlano, LICSW
• Michael Ronald Cipriano, PHARMD
• CJC LLC
• Wayne Clairborne, MD
• Catherine M Clark, RN
• Rebecca Lynn Clark
• Bonnie Marie Clarke, LCDP

• Land Ambulance in Pawtucket, RI
• Providers in Pawtucket, 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 Jul 24, 2025; 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.