| Name: | CHARLESTOWN AMBULANCE AND RESCUE SERVICE, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 15 Mar 1971 (54 years ago) |
| Identification Number: | 000028618 |
| ZIP code: | 02813 |
| County: | Washington County |
| Principal Address: | 4891 OLD POST RD, CHARLESTOWN, RI, 02813, USA |
| Purpose: | EMERGENCY MEDICAL TRANSPORTATION FOR THE SICK AND INJURED |
| Historical names: |
CHARLESTOWN AMBULANCE SERVICE INC. |
NAICS
624230 Emergency and Other Relief ServicesThis industry comprises establishments primarily engaged in providing food, shelter, clothing, medical relief, resettlement, and counseling to victims of domestic or international disasters or conflicts (e.g., wars). Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528056991 | 2005-10-11 | 2024-01-18 | PO BOX 346, CHARLESTOWN, RI, 028130346, US | 4891 OLD POST RD, CHARLESTOWN, RI, 028131819, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 401-364-3742 |
| Fax | 4013645438 |
Authorized person
| Name | ANDREW KETTLE |
| Role | CHIEF |
| Phone | 4013643742 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | 10 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3416L0300X - Land Ambulance |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9009951 |
| State | RI |
| Issuer | RAILROAD MEDICARE |
| Number | 590007904 |
| Name | Role | Address |
|---|---|---|
| MARY MACARI | Agent | 4891 OLD POST ROAD P.O. BOX 346, CHARLESTOWN, RI, 02813, USA |
| Name | Role | Address |
|---|---|---|
| BETHANY GINGERELLA | PRESIDENT | 4891 OLD POST ROAD CHARLESTOWN, RI 02813 USA |
| Name | Role | Address |
|---|---|---|
| RICH LUTZ | SECRETARY | 4891 OLD POST RD CHARLESTOWN, RI 02813 USA |
| Name | Role | Address |
|---|---|---|
| ANDREW D KETTLE | CHIEF OF DEPARTMENT | 4891 OLD POST RD CHARLESTOWN, RI 02813 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN MCCANDLESS | DIRECTOR | 4891 OLD POST ROAD CHARLESTOWN, RI 02813 USA |
| LISA SCHIPRITT | DIRECTOR | 14 NARROW LANE CHARLESTOWN, RI 02813 USA |
| ALAN ALI | DIRECTOR | 4891 OLD POST ROAD CHARLESTOWN, RI 02813 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 1992-11-25 | CHARLESTOWN AMBULANCE SERVICE INC. | CHARLESTOWN AMBULANCE AND RESCUE SERVICE, INC. |
| Number | Name | File Date |
|---|---|---|
| 202454114180 | Annual Report | 2024-05-09 |
| 202330064800 | Annual Report | 2023-03-10 |
| 202221329380 | Annual Report | 2022-07-15 |
| 202220543480 | Revocation Notice For Failure to File An Annual Report | 2022-06-28 |
| 202199346000 | Annual Report | 2021-07-17 |
| 202199345940 | Statement of Change of Registered/Resident Agent | 2021-07-17 |
| 202044925710 | Annual Report | 2020-07-17 |
| 201930603420 | Annual Report | 2019-12-23 |
| 201927072880 | Revocation Notice For Failure to File An Annual Report | 2019-11-06 |
| 201872641410 | Annual Report | 2018-07-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1748207305 | 2020-04-28 | 0165 | PPP | 4891 Old Post Road, CHARLESTOWN, RI, 02813-1819 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 06 Apr 2025
Sources: Rhode Island Department of State
