Active NPI
Town of Newbury
- Land Ambulance
- Newbury, MA
National Provider Identifier
1104202985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3092
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160210002379 | MA | Part B Supplier - Ambulance Service Supplier | 6901100015 | Practice locations: Byfield, MA; Newbury, MA |
National Provider Directory
National Provider DirectoryLocations
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.