Healthcare Provider Details

I. General information

NPI: 1235150806
Provider Name (Legal Business Name): HOPE VALLEY AMBULANCE SQUAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2006
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 FAIRVIEW AVE
HOPE VALLEY RI
02832-0205
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-539-2839
  • Fax:
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 Number18
License Number StateRI

VIII. Authorized Official

Name: MR. RICHARD A KENNEY
Title or Position: TREASURER
Credential:
Phone: 401-539-2839