Healthcare Provider Details

I. General information

NPI: 1629395710
Provider Name (Legal Business Name): NORTH SCITUATE FIRE DEPT 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 DANIELSON PIKE
N SCITUATE RI
02857-1906
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-647-9298
  • Fax:
Mailing address:
  • Phone: 401-572-3120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number25
License Number StateRI

VIII. Authorized Official

Name: ADAM J HEBERT
Title or Position: CHIEF
Credential:
Phone: 401-647-9298