Organization Active NPI

Town of Dennis

  • Land Ambulance
  • West Dennis, MA
National Provider Identifier
1063451409
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF DENNIS
Practice address
883 Main St
West Dennis, MA 02670-2823
Phone
(508) 398-2242
Fax
(508) 398-5925
NPI assigned
Jun 4, 2006
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Marc Alan Dellner
Title
Fire Chief
Phone
(508) 326-5071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

883 Main St
West Dennis, MA 02670-2823

Mailing address

9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740

Other identifiers 2

IdentifierTypeStateIssuer
1715429MedicaidMA
098659OtherMABCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070321000248 MA Part B Supplier - Ambulance Service Supplier 1850356833 Practice locations: West Dennis, MA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

883 Main St
West Dennis, MA 02670
Phone (508) 398-0363

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1063451409",
    "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": "883 MAIN ST",
            "city": "WEST DENNIS",
            "state": "MA",
            "postal_code": "026702823",
            "telephone_number": "508-398-2242",
            "fax_number": "508-398-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DENNIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "DELLNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-326-5071"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715429",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "098659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dennis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.