Provider Demographics
NPI:1427594084
Name:PRUDENCE ISLAND VOLUNTEER FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:PRUDENCE ISLAND VOLUNTEER FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:THURBER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:401-683-1100
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 1:292 NARRAGANSETT AVE
Practice Address - Street 2:
Practice Address - City:PRUDENCE ISLAND
Practice Address - State:RI
Practice Address - Zip Code:02872-0305
Practice Address - Country:US
Practice Address - Phone:401-683-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-06
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIEMS00106341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance