Town of Granby

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3332 Issued in MA

Legal business name

TOWN OF GRANBY

Doing business as

Granby Fire Department

Practice address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706

Phone

(800) 488-4351

Fax

(978) 356-2721

NPI assigned

Jan 5, 2007

Last updated

Jun 26, 2013By 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

Mr. Russell E Anderson

Title

Fire Chief

Phone

(413) 467-9697

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Granby Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Granby Fire Department2 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.

• Granby Public Schools

  • Local Education Agency (LEA)
  • Granby, MA
  • NPI 1033234786
  NPD tax ID

Locations

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1104973510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 STATE ST",
            "city": "GRANBY",
            "state": "MA",
            "postal_code": "010339417",
            "telephone_number": "413-467-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GRANBY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "413-467-9697",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3332",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "70010000031659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granby Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J. Peter St. Clair, D.M.D.
• Studio Avani
• Dianna Christine Sutera, CHC,FMHWS,MS,OTA/L
• Karen Louise Swicker, LICSW
• David S Tilley, COTA
• Town of Sandown (Sandown Fire & Rescue)
• Amanda F Von Zirpolo, SLP
• Rebecca L Walima Allred, PT DPT
• Joseph W Watson, LIC. AC.
• Jonathan Weltler, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.