MEDICARE: TIOGUE FIRE DISTRICT

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	341600000X	Ambulance	76	RI
2	3416L0300X	Land Ambulance	76	RI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	590009609	OTHER		RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000007187	OTHER	RI	BLUE CROSS BLUE SHIELD
2	400341	OTHER		BLUE CHIP
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	0029157	OTHER		NEIGHBORHOOD HEALTH
5	703195	OTHER		HARVARD PILGRIM

General Provider Information

NPI Number	:	1588637524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIOGUE FIRE DISTRICT

Provider Business Mailing Address
First Line	:	8 TURCOTTE MEMORIAL DR
Second Line	:
City	:	ROWLEY
State	:	MA
Zip	:	01969-1706
Country	:	US
Telephone Number	:	800-488-4351
Fax Number	:

Provider Business Practice Location Address
First Line	:	240 ARNOLD RD
Second Line	:
City	:	COVENTRY
State	:	RI
Zip	:	02816-5646
Country	:	US
Telephone Number	:	401-828-4359
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	ROBERT SELTZER
Credential	:
Telephone Number	:	401-828-4359

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	10/02/2008

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Directions to “TIOGUE FIRE DISTRICT ” Practice Location

Language	Start Address	Practice Location

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