Provider Demographics
NPI:1013031673
Name:TOWN OF CUMBERLAND
Entity Type:Organization
Organization Name:TOWN OF CUMBERLAND
Other - Org Name:TOWN OF CUMBERLAND RESCUE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:PLIAKAS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:401-334-3090
Mailing Address - Street 1:PO BOX 8879
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0879
Mailing Address - Country:US
Mailing Address - Phone:401-572-3120
Mailing Address - Fax:401-572-3351
Practice Address - Street 1:1512 MENDON RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-4815
Practice Address - Country:US
Practice Address - Phone:401-334-3090
Practice Address - Fax:401-334-3113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2017-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI5341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI8109829OtherUNITED HEALTH CARE
RI9007324Medicaid
RI590013505OtherRR MEDICARE
RI27978OtherNEIGHBORHOOD HEALTH PLAN
RI604066OtherTUFTS HEALTH PLAN
RI204473OtherBLUE CHIP
RI7324OtherBCBS RI
RI7324OtherBCBS RI