Healthcare Provider Details

I. General information

NPI: 1609934603
Provider Name (Legal Business Name): EXETER FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

669 TEN ROD ROAD
EXETER RI
02822-0503
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-295-3174
  • Fax: 401-295-3175
Mailing address:
  • Phone: 401-572-3120
  • Fax: 401-572-3351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberEMS00166
License Number StateRI

VIII. Authorized Official

Name: TOM LAWRENCE
Title or Position: CHIEF
Credential:
Phone: 401-295-3174