Provider Demographics
NPI:1134197411
Name:TOWN OF WEST WARWICK RI
Entity type:Organization
Organization Name:TOWN OF WEST WARWICK RI
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:J. JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:VARONE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:401-822-8241
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 1:1170 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WEST WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02893-4829
Practice Address - Country:US
Practice Address - Phone:401-822-8241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2019-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI343416L0300X, 341600000X
RI00343416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
204771OtherBLUE CHIP
000000026935OtherBMC HEALTHNET PLAN
803242OtherTUFTS HEALTH PLAN
590010995OtherRR MEDICARE
203523000OtherDEPARTMENT OF LABOR
701877OtherHARVARD PILGRIM
RI9007318Medicaid
RI0000007318OtherBLUE CROSS BLUE SHIELD
MA0000Z43889OtherBLUE CROSS BLUE SHIELD
RI9007318Medicaid