Healthcare Provider Details

I. General information

NPI: 1588637524
Provider Name (Legal Business Name): TIOGUE FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 10/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 ARNOLD RD
COVENTRY RI
02816-5646
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 401-828-4359
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number76
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number76
License Number StateRI

VIII. Authorized Official

Name: ROBERT SELTZER
Title or Position: CHIEF
Credential:
Phone: 401-828-4359