Town of Lee

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3359 Issued in MA

Legal business name

TOWN OF LEE

Doing business as

Lee Ambulance Service

Practice address

177 Main St
Lee, MA 01238-1660

Phone

(413) 243-5547

NPI assigned

Nov 28, 2005

Last updated

Sep 27, 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

Lisa Breault

Title

Administration

Phone

(413) 243-5547

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Lee Ambulance Service 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 Lee

  dba Tri-Town Health Department

  • State or Local Public Health Clinic/Center
  • Lee, MA
  • NPI 1518614742

  5294982104

  Same PAC ID

Tax ID family

Town of Lee3 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.

• Lee Public Schools

  • Local Education Agency (LEA)
  • Lee, MA
  • NPI 1639380157
  NPD tax ID
• Town of Lee

  dba Tri-Town Health Department

  • State or Local Public Health Clinic/Center
  • Lee, MA
  • NPI 1518614742
  NPD tax ID

Locations

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.

• Town of Lee

  dba Tri-Town Health Department

  • State or Local Public Health Clinic/Center
  • Lee, MA
  • NPI 1518614742
  NPPES parent name

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1154304723",
    "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",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 MAIN ST",
            "city": "LEE",
            "state": "MA",
            "postal_code": "012381660",
            "telephone_number": "413-243-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BREAULT",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "413-243-5547"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714546",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "078359",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590166058",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "802056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "000000025295",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "MA5918",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0020326",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lee Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suburban Paltc
• Suburban STC LLC
• Brittany Marie Sumner
• Darice Michele Taxter, R.PH.
• Betty Toledo Vargas
• Town of Lee (Tri-Town Health Department)
• Barbara S Tracy, MSN, FNP
• Brian J Traversa, D.C.
• Shenna Tyer
• Walgreen Co (Walgreens #19088)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.