Provider Demographics
NPI:1376523928
Name:TOWN OF JAMESTOWN
Entity Type:Organization
Organization Name:TOWN OF JAMESTOWN
Other - Org Name:JAMESTOWN FIRE DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:TIGHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-423-0062
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:
Mailing Address - Fax:
Practice Address - Street 1:50 NARRAGANSETT AVE
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:RI
Practice Address - Zip Code:02835-1167
Practice Address - Country:US
Practice Address - Phone:401-423-0062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-19
Last Update Date:2013-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI138341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI0000009928OtherBLUE CROSS BLUE SHIELD
201030OtherBLUE CHIP
201030OtherBLUE CHIP