Provider Demographics
NPI:1083747547
Name:NEWPORT FIRE DEPARTMENT
Entity Type:Organization
Organization Name:NEWPORT FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:COSTELLO
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-C, IC
Authorized Official - Phone:401-845-5915
Mailing Address - Street 1:21 W MARLBOROUGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWPORT
Mailing Address - State:RI
Mailing Address - Zip Code:02840-2527
Mailing Address - Country:US
Mailing Address - Phone:401-845-5914
Mailing Address - Fax:401-841-5446
Practice Address - Street 1:21 W MARLBOROUGH ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:RI
Practice Address - Zip Code:02840-2527
Practice Address - Country:US
Practice Address - Phone:401-845-5914
Practice Address - Fax:401-841-5446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI2100341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI2100OtherAMBULANCE SERVICE NUMBER