NPIMap

Organization Active NPI

Treasurer, Town of Sturbridge

  • Land Ambulance
  • Sturbridge, MA
National Provider Identifier
1104823913
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3277 Issued in MA
Legal business name
TREASURER, TOWN OF STURBRIDGE
Practice address
308 Main St
Sturbridge, MA 01566-2300
Phone
(508) 347-2523
Fax
(508) 347-2521
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Barbara A Barry
Title
Finance Director
Phone
(508) 347-2509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3277 MA Primary

Addresses

Primary practice location

308 Main St
Sturbridge, MA 01566-2300

Mailing address

308 Main St
Sturbridge, MA 01566-2300
Phone (508) 347-2523

Other identifiers 2

IdentifierTypeStateIssuer
015659OtherMABLUE CROSS
1708953MedicaidMA

Other names 1

  • Sturbridge Fire Dept. Ambulance Collection's Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070724000374 MA Part B Supplier - Ambulance Service Supplier 8123129939 Practice locations: Sturbridge, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Sturbridge2 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.

Locations

346 Main St
Sturbridge, MA 01566
Phone (508) 347-2525

308 Main St
Sturbridge, MA 01566
Phone (508) 347-2523

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1104823913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015662300",
            "telephone_number": "508-347-2523",
            "fax_number": "508-347-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "STURBRIDGE",
            "state": "MA",
            "postal_code": "015662300",
            "telephone_number": "508-347-2523",
            "fax_number": "508-347-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREASURER, TOWN OF STURBRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "BARRY",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "508-347-2509"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "015659",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708953",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sturbridge Fire Dept. Ambulance Collection's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sturbridge, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.