Provider Demographics
NPI:1851526073
Name:BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT, INC.
Entity Type:Organization
Organization Name:BLOCK ISLAND VOLUNTEER FIRE & RESCUE DEPARTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCONVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-466-3220
Mailing Address - Street 1:PO BOX 20104
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-0927
Mailing Address - Country:US
Mailing Address - Phone:401-572-3120
Mailing Address - Fax:401-572-3351
Practice Address - Street 1:10 BEACH AVE
Practice Address - Street 2:BOX 781
Practice Address - City:BLOCK ISLAND
Practice Address - State:RI
Practice Address - Zip Code:02807-0781
Practice Address - Country:US
Practice Address - Phone:401-466-3220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-18
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance