Healthcare Provider Details

I. General information

NPI: 1952736894
Provider Name (Legal Business Name): RI EMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2013
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 WASECA AVE
BARRINGTON RI
02806-3565
US

IV. Provider business mailing address

PO BOX 41148
PROVIDENCE RI
02940-1148
US

V. Phone/Fax

Practice location:
  • Phone: 401-289-2897
  • Fax: 401-369-8050
Mailing address:
  • Phone: 401-289-2897
  • Fax: 401-369-8050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY R GOODLOFF
Title or Position: DIRECTOR
Credential: EMT-C
Phone: 401-289-2897