Provider Demographics
NPI:1952736894
Name:RI EMS LLC
Entity Type:Organization
Organization Name:RI EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:GOODLOFF
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-C
Authorized Official - Phone:401-289-2897
Mailing Address - Street 1:PO BOX 41148
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02940-1148
Mailing Address - Country:US
Mailing Address - Phone:401-289-2897
Mailing Address - Fax:401-369-8050
Practice Address - Street 1:230 WASECA AVE
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:RI
Practice Address - Zip Code:02806-3565
Practice Address - Country:US
Practice Address - Phone:401-289-2897
Practice Address - Fax:401-369-8050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport