Healthcare Provider Details

I. General information

NPI: 1629103742
Provider Name (Legal Business Name): THE FOSTER AMBULANCE CORPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MT HYGEIA ROAD
FOSTER RI
02825-1435
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-647-0498
  • Fax: 401-647-2728
Mailing address:
  • Phone: 401-572-3120
  • Fax: 401-572-3351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number047
License Number StateRI

VIII. Authorized Official

Name: MRS. SHARON A COTTER
Title or Position: COMMANDER
Credential: RNP EMTP
Phone: 401-647-0498