Organization
LAKE MISHNOCK VOLUNTEER FIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R GALLIGAN JR. (CAPTAIN)
(401) 397-7353
Entity
Organization
Contact information
Practice address
166 MISHNOCK RD, W GREENWICH, RI 02817-1669
(401) 397-7353
Mailing address
PO BOX 20104, CRANSTON, RI 02920-0927
(401) 572-3120
(401) 572-3351
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
50
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000007822
BLUE CROSS BLUE SHIELD
RI
05
—
1709119
—
MA
01
—
703427
HARVARD PILGRIM
—
05
—
9007822
—
RI
01
—
BQ409256
BLUE CHIP
—
Enumeration date
11/28/2005
Last updated
03/15/2013
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