Provider Demographics
NPI:1891782173
Name:CENTRAL COVENTRY FIRE DISTRICT
Entity Type:Organization
Organization Name:CENTRAL COVENTRY FIRE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-835-7801
Mailing Address - Street 1:19 NORFOLK AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH EASTON
Mailing Address - State:MA
Mailing Address - Zip Code:02375-1911
Mailing Address - Country:US
Mailing Address - Phone:401-572-3120
Mailing Address - Fax:401-572-3351
Practice Address - Street 1:240 ARNOLD ROAD
Practice Address - Street 2:
Practice Address - City:COVENTRY
Practice Address - State:RI
Practice Address - Zip Code:02816-5646
Practice Address - Country:US
Practice Address - Phone:401-825-7800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2016-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI17341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT702708OtherHARVARD PILGRIM
0019683OtherNEIGHBORHOOD HEALTH
805091OtherSECURE HORIZONS
RI9007334Medicaid
RI0000007334OtherBLUE CROSS BLUE SHEILD
590015107OtherRR MEDICARE
805091OtherTUFTS HEALTH PLAN
RIBQ408686OtherBLUE CHIP
RI9007334Medicaid
RI9007334Medicaid