| Name: | ASHAWAY AMBULANCE ASSOCIATION, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 28 Sep 1971 (53 years ago) |
| Identification Number: | 000026734 |
| ZIP code: | 02804 |
| County: | Washington County |
| Principal Address: | PO BOX 96, ASHAWAY, RI, 02804, USA |
| Purpose: | EMERGENCY MEDICAL SERVICES AND TRANSPORTATION TO HOSPITALS |
| NAICS: | 621910 - Ambulance Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477507663 | 2006-05-20 | 2014-02-06 | PO BOX 8879, CRANSTON, RI, 029200879, US | 72 HIGH ST, ASHAWAY, RI, 02804, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-572-3120 |
| Fax | 4015723351 |
| Phone | +1 401-377-8312 |
| Fax | 4013778392 |
Authorized person
| Name | JAMES E TEEVAN |
| Role | VICE PRESIDENT |
| Phone | 4015723120 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | EMS00006 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9009948 |
| State | RI |
| Issuer | RAILROAD MEDICARE |
| Number | P01042336 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JAMES FRINK | Agent | HIGH STREET P.O. BOX 96, ASHAWAY, RI, 02804, USA |
| Name | Role | Address |
|---|---|---|
| JODI PERRIN | PRESIDENT | 4 PINE TERRACE WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| ERIC PERRIN | TREASURER | 14 PINE TERRACE WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| KEVIN M BEAULIEU | SECRETARY | 14 NUTMEG DRIVE WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| NICHOLAS L VETELINO | CHIEF | 15 SAUNDRA DRIVE WESTERLY, RI 02891 USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL GARDELLA | DIRECTOR | 149 ALTON BRADFORD ROAD BRADFORD, RI 02808 USA |
| RICHARD STOCKMAN | DIRECTOR | 72 HIGH ST ASHAWAY, RI 02804 USA |
| Number | Name | File Date |
|---|---|---|
| 202448749020 | Annual Report | 2024-03-17 |
| 202335712760 | Annual Report | 2023-06-16 |
| 202214356340 | Annual Report | 2022-05-06 |
| 202198840860 | Annual Report | 2021-06-30 |
| 202035899680 | Annual Report | 2020-03-04 |
| 201986219440 | Annual Report | 2019-02-08 |
| 201860181920 | Annual Report | 2018-03-09 |
| 201738104660 | Annual Report | 2017-03-13 |
| 201608933620 | Annual Report | 2016-09-16 |
| 201565705340 | Annual Report | 2015-07-22 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
