Town of Eastham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3095 Issued in MA

Legal business name

TOWN OF EASTHAM

Practice address

9 Main St Ste 2K
Sutton, MA 01590-1660

Phone

(508) 476-9740

Fax

(508) 476-9748

NPI assigned

Aug 26, 2005

Last updated

Mar 1, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

TOWN OF EASTHAMAs reported in NPPES

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

Authorized official

Name

Mr. Glenn J. Olson

Title

Fire Chief

Phone

(508) 255-2324

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Town of Eastham2 organizations share this tax ID, including this one

Part of

Town of Eastham

Other organizations with this tax ID 1

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

• Town of Eastham

  • Local Education Agency (LEA)
  • Orleans, MA
  • NPI 1730200551
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Town of Eastham

  • Local Education Agency (LEA)
  • Orleans, MA
  • NPI 1730200551
  NPPES parent name

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1053304733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 STATE HWY",
            "city": "EASTHAM",
            "state": "MA",
            "postal_code": "026422544",
            "telephone_number": "508-255-2324",
            "fax_number": "508-240-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAIN ST STE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF EASTHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF EASTHAM",
        "enumeration_date": "2005-08-26",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-255-2324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715925",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Stoddard
• Therese Comeau Susienka, DMD
• Sutton Public Schools
• Geena Terino
• Therese Susienka DMD PLLC (Pleasant Valley Dentistry)
• Town of Orleans (Orleans Fire Dept. / Rescue Squad)
• Town of Sutton
• Linda Vorrasi
• Alexandra Welch, MA RD LDN
• Herath M Wijerathna, M.D.

• Land Ambulance in Sutton, MA
• Providers in Sutton, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.

Verify at the official NPI Registry.