Provider Demographics
NPI:1083682355
Name:WESTERN COVENTRY FIRE DISTRICT
Entity Type:Organization
Organization Name:WESTERN COVENTRY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:CADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-397-7520
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 1:1110 VICTORY HWY
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:RI
Practice Address - Zip Code:02827-1724
Practice Address - Country:US
Practice Address - Phone:401-397-7520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI40341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
402223OtherBLUE CHIP
RI9007888Medicaid
703817OtherHARVARD PILGRIM
P00256794OtherRR MEDICARE
RI0000007888OtherBLUE CROSS BLUE SHIELD
703817OtherHARVARD PILGRIM