Healthcare Provider Details

I. General information

NPI: 1134197411
Provider Name (Legal Business Name): TOWN OF WEST WARWICK RI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2006
Last Update Date: 07/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 MAIN STREET
WEST WARWICK RI
02893-4829
US

IV. Provider business mailing address

PO BOX 8879
CRANSTON RI
02920-0879
US

V. Phone/Fax

Practice location:
  • Phone: 401-822-8241
  • Fax:
Mailing address:
  • Phone: 401-572-3120
  • Fax: 401-572-3351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number34
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number34
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0034
License Number StateRI

VIII. Authorized Official

Name: J. JEFFREY VARONE JR.
Title or Position: CHIEF
Credential:
Phone: 401-822-8241