Organization Active NPI

Town of Tiverton

Doing business as Tiverton Fire Department, Town of Tiverton Rescue

  • Land Ambulance
  • Tiverton, RI
National Provider Identifier
1811984404
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF TIVERTON
Doing business as
Tiverton Fire Department, Town of Tiverton Rescue
Town of Tiverton Fire Department
Practice address
85 Main Rd
Tiverton, RI 02878-1125
Phone
(401) 625-6707
Fax
(401) 625-6753
NPI assigned
Sep 29, 2005
Last updated
Oct 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
William S. Bailey III
Title
Chief
Phone
(401) 625-6707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

85 Main Rd
Tiverton, RI 02878-1125

Mailing address

85 Main Rd
Tiverton, RI 02878-1125
Phone (401) 625-6707

Other identifiers 6

IdentifierTypeStateIssuer
8109935OtherUNITED HEALTH CARE NEW EN
803980OtherTUFTS
400314OtherRIRI BLUE CHIP
1720295OtherMASSHEALTH
238241OtherRIRI BLUE CROSS
9002485MedicaidRI

Other names 2

  • Tiverton Fire Department, Town of Tiverton Rescue Doing business as
  • Town of Tiverton 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
O20100319000418 RI Part B Supplier - Ambulance Service Supplier 6204961980 Practice locations: Tiverton, RI

National Provider Directory

National Provider Directory

Locations

287 East Rd
Tiverton, RI 02878
Phone (401) 625-6707

85 Main Rd
Tiverton, RI 02878
Phone (401) 625-6707

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1811984404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781125",
            "telephone_number": "401-625-6707",
            "fax_number": "401-625-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 MAIN RD",
            "city": "TIVERTON",
            "state": "RI",
            "postal_code": "028781125",
            "telephone_number": "401-625-6707",
            "fax_number": "401-625-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TIVERTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "401-625-6707",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE NEW EN",
            "identifier": "8109935",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "803980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "400314",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "1720295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CROSS",
            "identifier": "238241",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002485",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiverton Fire Department, Town of Tiverton Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiverton Fire Department, Town of Tiverton Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Tiverton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tiverton, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.