Town of Groton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF GROTON

Practice address

99 Pleasant St
Groton, MA 01450-1205

Phone

(978) 448-1137

Fax

(978) 448-1116

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Joseph Bosselait

Title

Fire Chief

Phone

(978) 448-1137

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1144268806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 PLEASANT ST",
            "city": "GROTON",
            "state": "MA",
            "postal_code": "014501205",
            "telephone_number": "978-448-1137",
            "fax_number": "978-448-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GROTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "BOSSELAIT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-448-1137"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "014659",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707744",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Xavier Tansey, DC
• Amy Taynor, PHARMD
• Cynthia Testa, MS, CCC-SLP
• The Violette House Inc
• Amir Sam Tiam, DMD
• Trustees of Tufts University (Tufts Dental Facility Groton)
• Valli Dental Corporation
• Marc Christopher Valli, D.M.D.
• Molly Harrison Valli, DMD
• Frank Joseph Vangeli, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.