NPIMap

Organization Active NPI

Town of Little Compton

  • Land Ambulance
  • Little Compton, RI
National Provider Identifier
1760465256
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
51 Issued in RI
Legal business name
TOWN OF LITTLE COMPTON
Practice address
60 Simmons Rd
Little Compton, RI 02837-1520
Phone
(401) 635-2324
NPI assigned
Nov 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Richard G Petrin
Title
Chief
Phone
(401) 635-2324

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 51 RI
Land Ambulance 3416L0300X 51 RI Primary

Addresses

Primary practice location

60 Simmons Rd
Little Compton, RI 02837-1520

Mailing address

PO Box 8879
Cranston, RI 02920-0879
Phone (401) 572-3120

Other identifiers 6

IdentifierTypeStateIssuer
0000024156OtherRIBLUE CROSS BLUE SHIELD
706239OtherHARVARD PILGRIM
695806OtherTUFTS HEALTH PLAN
9024156MedicaidRI
BQ410960OtherBLUE CHIP
P00055434OtherRR MEDICARE

Other names 1

  • Little Compton Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090420000167 RI Part B Supplier - Ambulance Service Supplier 8729135322 Practice locations: Little Compton, RI

National Provider Directory

National Provider Directory
Tax ID family
Town of Little Compton3 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.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1760465256",
    "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": "60 SIMMONS RD",
            "city": "LITTLE COMPTON",
            "state": "RI",
            "postal_code": "028371520",
            "telephone_number": "401-635-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LITTLE COMPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "PETRIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-635-2324"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "51",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000024156",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "706239",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "695806",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9024156",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "BQ410960",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00055434",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Compton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Little Compton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.