Town of Concord

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF CONCORD

Practice address

209 Walden St
Concord, MA 01742-3631

Phone

(978) 318-3055

Fax

(978) 318-3093

NPI assigned

May 27, 2006

Last updated

Jan 26, 2021By 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

Tom Judge

Title

Fire Chief

Phone

(978) 318-3450

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Town of Concord2 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 Concord

  • Local Education Agency (LEA)
  • Concord, MA
  • NPI 1063676633
  NPD tax ID

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1063469070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110",
            "address_2": "DEPT 800",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "978-318-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WALDEN ST",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017423631",
            "telephone_number": "978-318-3055",
            "fax_number": "978-318-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-318-3450"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "010959",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700987",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Beth Tieuli, M.A.
• Dan S Tilles, M.D.
• Catherine Emilie Tillman Fledderjohn, AAM BOARD CERTIFIED
• Laura Ting, M.D.
• Ya Tze Tong, M.D.
• Town of Concord
• Deborah Towne, M.ED
• Jennifer Platt Toyohara, M.D.
• Vlassis Travias, M.D.
• Jane I-Chen Tsao, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.