Provider Demographics
NPI:1982817383
Name:PASCOAG FIRE DISTRICT LIGHT DEPT
Entity Type:Organization
Organization Name:PASCOAG FIRE DISTRICT LIGHT DEPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:J
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:401-636-1297
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 1:105 PASCOAG MAIN ST
Practice Address - Street 2:
Practice Address - City:PASCOAG
Practice Address - State:RI
Practice Address - Zip Code:02859-3104
Practice Address - Country:US
Practice Address - Phone:401-568-4470
Practice Address - Fax:401-568-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI27734OtherNEIGHBOR HEALTH
RI7321OtherBLUE CROSS
RI9007321Medicaid
RI204174OtherBLUE CHIP
RI7321OtherBLUE CROSS