Organization Active NPI

Town of Warren

  • Land Ambulance
  • Warren, RI
National Provider Identifier
1811015886
Registry record updated Dec 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
EMS00073 Issued in RI
Legal business name
TOWN OF WARREN
Practice address
1 Joyce St
Warren, RI 02885-3238
Phone
(401) 245-7600
Fax
(401) 247-7735
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2017

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

Authorized official

Name
James A Sousa
Title
Chief
Phone
(401) 245-7600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 73 RI
Land Ambulance 3416L0300X EMS00073 RI Primary

Addresses

Primary practice location

1 Joyce St
Warren, RI 02885-3238

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
90002755MedicaidRI
24047OtherRIBLUE CROSS
27945OtherRINEIGHBORHOOD HEALTH
405812OtherRIBLUE CHIP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100115000007 RI Part B Supplier - Ambulance Service Supplier 9133261050 Practice locations: Warren, RI

National Provider Directory

National Provider Directory

Locations

1 Joyce St
Warren, RI 02885
Phone (401) 245-7600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1811015886",
    "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": "1 JOYCE ST",
            "city": "WARREN",
            "state": "RI",
            "postal_code": "028853238",
            "telephone_number": "401-245-7600",
            "fax_number": "401-247-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WARREN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-245-7600"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "73",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "EMS00073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90002755",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "24047",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "27945",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "405812",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.