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Organization

TOWN OF LINCOLN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEAN N THOMPSON (CHIEF)
(401) 334-8599
Entity
Organization

Contact information

Practice address
115 MAIN ST, LINCOLN, RI 02865-1401
(401) 334-8599
Mailing address
PO BOX 8879, CRANSTON, RI 02920-0879
(401) 572-3120
(401) 572-3351

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
52
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13005
BLUECROSS BLUESHIELD
RI
01
404414
BLUECHIP
RI
01
8190134
UNITED HEALTH
05
9013005
RI
Enumeration date
03/26/2007
Last updated
12/12/2017
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