Healthcare Provider Details

I. General information

NPI: 1568777233
Provider Name (Legal Business Name): MAINSTREET MONITORING DEVICES, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

589 RESERVOIR AVE
CRANSTON RI
02910-1632
US

IV. Provider business mailing address

589 RESERVOIR AVE
CRANSTON RI
02910-1632
US

V. Phone/Fax

Practice location:
  • Phone: 401-369-7450
  • Fax: 888-895-4262
Mailing address:
  • Phone: 401-369-7450
  • Fax: 888-895-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. CRAIG BAKER
Title or Position: PRESIDENT/CEO
Credential:
Phone: 774-282-1999