Town of Fairhaven

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3098 Issued in MA

Legal business name

TOWN OF FAIRHAVEN

Doing business as

Fairhaven Fire and EMS

Practice address

146 Washington St
Fairhaven, MA 02719-4043

Phone

(508) 994-1428

NPI assigned

Oct 31, 2005

Last updated

May 22, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Timothy Francis

Title

Chief

Phone

(508) 994-1428

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Fairhaven Fire and EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fairhaven Fire and EMS2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Town of Fairhaven

  dba Fairhaven Public Schools

  • Local Education Agency (LEA)
  • Fairhaven, MA
  • NPI 1982737045
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495411200000",
    "number": "1043201908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 WASHINGTON ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194043",
            "telephone_number": "508-994-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF FAIRHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2017-05-22",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-994-1428"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3098",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000025528",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERRED CARE",
            "identifier": "143050XX",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0008755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714252",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590006101",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven Fire and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristina Lynne Tetreault
• Rachel Tetreault, PHARM D
• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #427)
• Mary E Toms, MD
• Jennifer Torrey, RPH.
• Town of Fairhaven (Fairhaven Public Schools)
• Town of Fairhaven (Fairhaven Board of Health)
• Ny My Tran, NP
• Rachel E Twymon, COTA
• Robert Vazquez, M.D.

• Ambulance in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.