Provider Demographics
NPI:1114051794
Name:HARRISVILLE FIRE DISTRICT
Entity Type:Organization
Organization Name:HARRISVILLE FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:ST PIERRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-568-5110
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:401-568-2224
Mailing Address - Fax:
Practice Address - Street 1:201 CALLAHAN SCHOOL ST
Practice Address - Street 2:
Practice Address - City:HARRISVILLE
Practice Address - State:RI
Practice Address - Zip Code:02830-1102
Practice Address - Country:US
Practice Address - Phone:401-568-5110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI37341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI410494OtherBLUE CHIP
RI26567OtherBLUE CROSS
RI9026567Medicaid
RI28752OtherNEIGHBORHOOD HEALTH PLAN
RI9026567Medicaid