Healthcare Provider Details

I. General information

NPI: 1669460028
Provider Name (Legal Business Name): WEST GLOCESTER FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 01/13/2023
Certification Date: 01/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2410 PUTNAM PIKE
CHEPACHET RI
02814-1147
US

IV. Provider business mailing address

2410 PUTNAM PIKE
CHEPACHET RI
02814-1147
US

V. Phone/Fax

Practice location:
  • Phone: 401-568-5532
  • Fax: 401-568-5532
Mailing address:
  • Phone: 401-568-5532
  • Fax: 401-568-5532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number68
License Number StateRI

VIII. Authorized Official

Name: DEBRA LABUTTI
Title or Position: TREASURER
Credential:
Phone: 401-568-5532