MEDICARE: TOWN OF WEST WARWICK RI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	34	RI
2	341600000X	Ambulance	34	RI
3	3416L0300X	Land Ambulance	0034	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	590010995	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	204771	OTHER		BLUE CHIP
2	000000026935	OTHER		BMC HEALTHNET PLAN
3	803242	OTHER		TUFTS HEALTH PLAN
5	203523000	OTHER		DEPARTMENT OF LABOR
6	701877	OTHER		HARVARD PILGRIM
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	0000007318	OTHER	RI	BLUE CROSS BLUE SHIELD
9	0000Z43889	OTHER	MA	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1134197411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF WEST WARWICK RI

Provider Business Mailing Address
First Line	:	PO BOX 8879
Second Line	:
City	:	CRANSTON
State	:	RI
Zip	:	02920-0879
Country	:	US
Telephone Number	:	401-572-3120
Fax Number	:	401-572-3351

Provider Business Practice Location Address
First Line	:	1170 MAIN STREET
Second Line	:
City	:	WEST WARWICK
State	:	RI
Zip	:	02893-4829
Country	:	US
Telephone Number	:	401-822-8241
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	J. JEFFREY VARONE JR.
Credential	:
Telephone Number	:	401-822-8241

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	07/16/2019

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Directions to “TOWN OF WEST WARWICK RI ” Practice Location

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