| Organization Name: | POTTERVILLE FIRE DEPARTMENT INC. |
| NPI Number: | 1356667174 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK T ELLIS (CHIEF) |
| Mailing Address: | 953 Tunk Hill Rd Foster |
| State: | RI US |
| Postal Code: | 028251162 |
| Phone Number: | 4016473505 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2010 |
| NPI Last Update Date: | 01/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 66 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |