Provider Demographics
NPI:1811015886
Name:TOWN OF WARREN
Entity type:Organization
Organization Name:TOWN OF WARREN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:SOUSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-245-7600
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 1:1 JOYCE ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:RI
Practice Address - Zip Code:02885-3238
Practice Address - Country:US
Practice Address - Phone:401-245-7600
Practice Address - Fax:401-247-7735
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI73341600000X
RIEMS000733416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI90002755Medicaid
RI24047OtherBLUE CROSS
RI27945OtherNEIGHBORHOOD HEALTH
RI405812OtherBLUE CHIP
RI599002755Medicare PIN