Provider Demographics
NPI:1609934603
Name:EXETER FIRE DISTRICT
Entity Type:Organization
Organization Name:EXETER FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TOM
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-295-3174
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 1:669 TEN ROD ROAD
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:RI
Practice Address - Zip Code:02822-0503
Practice Address - Country:US
Practice Address - Phone:401-295-3174
Practice Address - Fax:401-295-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIEMS00166341600000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI9955OtherBLUE CROSS BLUE SHIELD
RI9009955Medicaid
RI405487OtherBLUE CHIP
RI590014833OtherRAILROAD MEDICARE
RI9955OtherBLUE CROSS BLUE SHIELD
RI590014833OtherRAILROAD MEDICARE
RI599009955Medicare PIN