Healthcare Provider Details

I. General information

NPI: 1376523928
Provider Name (Legal Business Name): TOWN OF JAMESTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 03/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 NARRAGANSETT AVE
JAMESTOWN RI
02835-1167
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-423-0062
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number138
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number138
License Number StateRI

VIII. Authorized Official

Name: HOWARD F TIGHE
Title or Position: CHIEF
Credential:
Phone: 401-423-0062