NPIMap

Organization Active NPI

Lake Mishnock Volunteer Fire

  • Ambulance
  • W Greenwich, RI
National Provider Identifier
1851374508
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
50 Issued in RI
Legal business name
LAKE MISHNOCK VOLUNTEER FIRE
Practice address
166 Mishnock Rd
W Greenwich, RI 02817-1669
Phone
(401) 397-7353
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

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

Authorized official

Name
James R Galligan Jr.NPI 1710071436
Title
Captain
Phone
(401) 397-7353

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 50 RI Primary

Addresses

Primary practice location

166 Mishnock Rd
W Greenwich, RI 02817-1669

Mailing address

PO Box 20104
Cranston, RI 02920-0927
Phone (401) 572-3120

Other identifiers 5

IdentifierTypeStateIssuer
BQ409256OtherBLUE CHIP
0000007822OtherRIBLUE CROSS BLUE SHIELD
1709119MedicaidMA
9007822MedicaidRI
703427OtherHARVARD PILGRIM

National Provider Directory

National Provider Directory

Locations

166 Mishnock Rd
West Greenwich, RI 02817
Phone (401) 397-7353

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1851374508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20104",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029200927",
            "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": "166 MISHNOCK RD",
            "city": "W GREENWICH",
            "state": "RI",
            "postal_code": "028171669",
            "telephone_number": "401-397-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MISHNOCK VOLUNTEER FIRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "GALLIGAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "401-397-7353",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "RI",
            "license": "50",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "BQ409256",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000007822",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709119",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9007822",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Greenwich, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.