Organization
TOWN OF BRISTOL
Active
Other names
Bristol Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J MARTIN (CHIEF)
(401) 253-6912
Entity
Organization
Contact information
Practice address
4 ANNAWAMSCUTT DR, BRISTOL, RI 02809-4200
(401) 253-6912
(401) 253-6610
Mailing address
PO BOX 8879, CRANSTON, RI 02920-0879
(401) 572-3120
(401) 572-3351
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
74
RI
3416L0300X
Land Ambulance
Primary
74
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404982
BLUECHIP
RI
01
—
590013487
RAILROAD MEDICARE
RI
01
—
7792
BLUECROSS BLUESHIELD
RI
01
—
8190294
UNITED HEALTH
—
05
—
9007792
—
RI
Enumeration date
03/27/2007
Last updated
04/04/2013
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