Organization Active NPI

Town of Newbury

  • Land Ambulance
  • Newbury, MA
National Provider Identifier
1104202985
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3092 Issued in MA
Legal business name
TOWN OF NEWBURY
Practice address
25 High Rd
Newbury, MA 01951-1298
Phone
(978) 465-0862
NPI assigned
Aug 4, 2015
Last updated
Aug 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Authorized official

Name
Tracy Blais
Title
Town Administrator
Phone
(978) 465-0862

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3092 MA Primary

Addresses

Primary practice location

25 High Rd
Newbury, MA 01951-1298

Mailing address

25 High Rd
Newbury, MA 01951-1298
Phone (978) 465-0862

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160210002379 MA Part B Supplier - Ambulance Service Supplier 6901100015 Practice locations: Byfield, MA; Newbury, MA

National Provider Directory

National Provider Directory

Locations

44 Central St
Byfield, MA 01922
Phone (978) 265-5750

12 Kent Way
Ste 101
Newbury, MA 01922

25 High Rd
Newbury, MA 01951
Phone (978) 465-0862

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1104202985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 HIGH RD",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511298",
            "telephone_number": "978-465-0862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 HIGH RD",
            "city": "NEWBURY",
            "state": "MA",
            "postal_code": "019511298",
            "telephone_number": "978-465-0862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF NEWBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-04",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "BLAIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "TOWN ADMINISTRATOR",
        "authorized_official_telephone_number": "978-465-0862"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.