Active NPI
Town of Clinton
- Ambulance
- Clinton, MA
National Provider Identifier
1124015359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3668
- Legal business name
- TOWN OF CLINTON
- Practice address
- 555 Main St
Clinton, MA 01510-2413 - Phone
- (978) 365-4165
- NPI assigned
- Oct 3, 2005
- 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
- Richard Hart
- Title
- Chief
- Phone
- (978) 365-4165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3668 | MA | Primary |
Addresses
Primary practice location
555 Main St
Clinton, MA 01510-2413
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 041459 | Other | MA | BLUE CROSS BLUE SHEILD |
| 801548 | Other | TUFTS HEALTH PLAN | |
| 701596 | Other | HAVARD PILGRIM HEALTHCARE | |
| 1710923 | Medicaid | MA | |
| 7065 | Other | FALLON HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110428000205 | MA | Part B Supplier - Ambulance Service Supplier | 5294910642 | Practice locations: Clinton, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Clinton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Clinton, MA
- NPI 1396862413
Locations
555 Main St
Clinton, MA 01510
Phone (508) 365-2114
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Local Education Agency (LEA)
- Clinton, MA
- NPI 1396862413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124015359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 MAIN ST",
"city": "CLINTON",
"state": "MA",
"postal_code": "015102413",
"telephone_number": "978-365-4165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CLINTON",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "978-365-4165"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "041459",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "801548",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAVARD PILGRIM HEALTHCARE",
"identifier": "701596",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710923",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON HEALTH PLAN",
"identifier": "7065",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.