Active NPI
Town of Bourne
- Land Ambulance
- Buzzards Bay, MA
National Provider Identifier
1013943687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF BOURNE
- Practice address
- 130 Main St
Buzzards Bay, MA 02532-3221 - Phone
- (508) 759-4412
- Fax
- (508) 759-9585
- NPI assigned
- Jun 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martin Greene
- Title
- Fire Chief
- Phone
- (508) 759-4412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
130 Main St
Buzzards Bay, MA 02532-3221
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708015 | Medicaid | MA | |
| 016259 | Other | MA | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061106000026 | MA | Part B Supplier - Ambulance Service Supplier | 7719984780 | Practice locations: Buzzards Bay, MA; Pocasset, MA; Sagamore Beach, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Bourne Public Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Bourne, MA
- NPI 1922138650
Locations
130 Main St
Buzzards Bay, MA 02532
Phone (508) 759-4412
51 Meetinghouse Ln
Sagamore Beach, MA 02562
Phone (508) 759-4412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1013943687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "508-476-9740",
"fax_number": "508-476-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"city": "BUZZARDS BAY",
"state": "MA",
"postal_code": "025323221",
"telephone_number": "508-759-4412",
"fax_number": "508-759-9585"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BOURNE",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-24",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-759-4412"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708015",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "016259",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buzzards Bay, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.