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CITY OF PAWTUCKET RHODE ISLAND
NPI 1679612477
Ambulance - Land Transport in Pawtucket, RI

Active since February 06, 2007
137 ROOSEVELT AVE, PAWTUCKET, RI 02860(401) 728-0500 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About City Of Pawtucket Rhode Island NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY OF PAWTUCKET RHODE ISLAND (NPI 1679612477), doing business as Pawtucket Fire Department, is a healthcare organization registered as a land transport in Pawtucket, Rhode Island and active in the NPI registry since February 2007. The organization lists Irina Gorman, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1679612477
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameCITY OF PAWTUCKET RHODE ISLAND
Location Address137 ROOSEVELT AVEPawtucket, RI 02860-2129
Mailing AddressPo Box 547Wheeling, IL 60090-0547 · (734) 224-4474 · Fax (336) 791-0196
Phone(401) 728-0500
Organization SubpartNo
Authorized OfficialIrina GormanTreasurer · (401) 728-0500
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1679612477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in RI · EMS00028
137 ROOSEVELT AVE, Pawtucket, RI 02860
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Other Names 1

Doing Business AsPawtucket Fire Department

Other Identifiers 4

Other27812RI · Neighbor Health
Medicaid9007303RI
Other23823RI · Blue Cross
Other203239RI · Blue Chip

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

City Of Pawtucket Rhode Island is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateRhode IslandEnrollment IDO20101122000812Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
2,288 services363 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
463 services324 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
83 services68 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Of Pawtucket Rhode Island's NPI number?

The NPI number for City Of Pawtucket Rhode Island is 1679612477. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Pawtucket Fire Department.

Where is City Of Pawtucket Rhode Island located?

City Of Pawtucket Rhode Island is located at 137 Roosevelt Ave, Pawtucket, RI 02860. The listed phone number is (401) 728-0500.

What is City Of Pawtucket Rhode Island's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is City Of Pawtucket Rhode Island enrolled in Medicare?

Yes. City Of Pawtucket Rhode Island is registered in the Medicare PECOS enrollment system.

When is City Of Pawtucket Rhode Island's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Rhode Island, Ambulance Service Supplier) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for City Of Pawtucket Rhode Island was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.