| Name: | Central Coventry Fire District |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Mastership |
| Date of Organization in Rhode Island: | 18 Apr 1959 (66 years ago) |
| Date of Dissolution: | 16 Oct 2012 (12 years ago) |
| Date of Status Change: | 16 Oct 2012 (12 years ago) |
| Identification Number: | 000794651 |
| Purpose: | JANUARY SESSION 1959 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1891782173 | 2005-10-03 | 2016-11-01 | 19 NORFOLK AVE, SOUTH EASTON, MA, 023751911, US | 240 ARNOLD ROAD, COVENTRY, RI, 028165646, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-572-3120 |
| Fax | 4015723351 |
| Phone | +1 401-825-7800 |
Authorized person
| Name | PETER LAMB |
| Role | FIRE CHIEF |
| Phone | 4018357801 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | 17 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 17 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HARVARD PILGRIM |
| Number | 702708 |
| State | CT |
| Issuer | NEIGHBORHOOD HEALTH |
| Number | 0019683 |
| Issuer | SECURE HORIZONS |
| Number | 805091 |
| Issuer | MEDICAID |
| Number | 9007334 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHEILD |
| Number | 0000007334 |
| State | RI |
| Issuer | RR MEDICARE |
| Number | 590015107 |
| Issuer | TUFTS HEALTH PLAN |
| Number | 805091 |
| Issuer | BLUE CHIP |
| Number | BQ408686 |
| State | RI |
| Number | Name | File Date |
|---|---|---|
| 201446911260 | Miscellaneous Filing (No Fee) | 2014-09-30 |
| 201445967510 | Miscellaneous Filing (No Fee) | 2014-09-11 |
| 201445967600 | Miscellaneous Filing (No Fee) | 2014-09-11 |
| 201445967790 | Miscellaneous Filing (No Fee) | 2014-09-11 |
| 201444064490 | Miscellaneous Filing (No Fee) | 2014-08-12 |
| 201442941090 | Miscellaneous Filing (No Fee) | 2014-07-18 |
| 201442103830 | Miscellaneous Filing (No Fee) | 2014-06-27 |
| 201440347650 | Miscellaneous Filing (No Fee) | 2014-06-03 |
| 201439854080 | Miscellaneous Filing (No Fee) | 2014-05-21 |
| 201438847470 | Miscellaneous Filing (No Fee) | 2014-05-12 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
