Provider Demographics
NPI:1861482630
Name:EAST GREENWICH FIRE DISTRICT
Entity Type:Organization
Organization Name:EAST GREENWICH FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILLIVRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-886-8694
Mailing Address - Street 1:8 TURCOTTE MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:ROWLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01969-1706
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:
Practice Address - Street 1:284 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST GREENWICH
Practice Address - State:RI
Practice Address - Zip Code:02818-3716
Practice Address - Country:US
Practice Address - Phone:401-886-8686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-24
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI12341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
BQ401265OtherBLUE CHIP
RI0000013006OtherBLUE CROSS BLUE SHIELD
RI9013006Medicaid
0022223OtherNEIGHBORHOOD HEALTH
703126OtherHARVARD PILGRIM
590012182OtherRR MEDICARE
0022223OtherNEIGHBORHOOD HEALTH