Town of Tewksbury

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3062 Issued in MA

Legal business name

TOWN OF TEWKSBURY

Practice address

21 Town Hall Ave
Tewksbury, MA 01876-2752

Phone

(978) 640-4410

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Michael Hazel

Title

Fire Chief

Phone

(978) 640-4410

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Tewksbury Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Tewksbury

  • Public Health or Welfare Agency
  • Tewksbury, MA
  • NPI 1306017264

  2668496464

  Same PAC ID

Tax ID family

Town of Tewksbury3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Town of Tewksbury

  • Public Health or Welfare Agency
  • Tewksbury, MA
  • NPI 1306017264
  NPD tax ID
• Town of Tewksbury

  • Local Education Agency (LEA)
  • Tewksbury, MA
  • NPI 1588785703
  NPD tax ID

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603238400000",
    "number": "1124091673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORFOLK AVE",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751911",
            "telephone_number": "508-297-2068",
            "fax_number": "508-297-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 TOWN HALL AVE",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762752",
            "telephone_number": "978-640-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TEWKSBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A",
        "authorized_official_last_name": "HAZEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-640-4410"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "041259",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709917",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "802751",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000022440",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0008642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590001093",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700765",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tewksbury Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Thomas, P.T.
• Brienna Tomlinson
• Jazmin Torres
• Lissette Torres
• David Anthony Tortorella, M.D.
• Town of Tewksbury
• Town of Tewksbury
• Teagan Danielle Trant
• Ubora Health and Wellness PLLC
• Anthony H Vagnucci, M.D.

• Ambulance in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.