Healthcare Provider Details

I. General information

NPI: 1679607469
Provider Name (Legal Business Name): TOWN OF SCITUATE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 DANIELSON PIKE
NORTH SCITUATE RI
02857-1906
US

IV. Provider business mailing address

195 DANIELSON PIKE
NORTH SCITUATE RI
02857-1906
US

V. Phone/Fax

Practice location:
  • Phone: 401-647-2547
  • Fax:
Mailing address:
  • Phone: 401-647-2547
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number77
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number66
License Number StateRI
# 3
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number135
License Number StateRI
# 4
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number25
License Number StateRI

VIII. Authorized Official

Name: MR. THEODORE J PRZYBYLA
Title or Position: TOWN TREASURER
Credential:
Phone: 401-647-2547