NPIMap

Organization Active NPI

Town of Maynard Ambulance Service

  • Ambulance
  • Maynard, MA
National Provider Identifier
1164556205
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
TOWN OF MAYNARD AMBULANCE SERVICE
Practice address
1 Summer St.
Maynard, MA 01754
Phone
(978) 897-1014
Fax
(978) 897-3389
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Nancy W. Brooks
Title
Admin. Assist. to Fire Chief
Phone
(978) 897-1014

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MA Primary

Addresses

Primary practice location

1 Summer St.
Maynard, MA 01754

Mailing address

1 Summer St.
Maynard, MA 01754
Phone (978) 897-1014

Other identifiers 2

IdentifierTypeStateIssuer
700469OtherMAHARVARD PILGRIM
800152OtherMATUFTS

Other names 1

  • Town of Maynard Fire Department Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120227000611 MA Part B Supplier - Ambulance Service Supplier 6204094980 Practice locations: Maynard, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Maynard3 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.

Locations

1 Summer St
Maynard, MA 01754
Phone (617) 897-1015

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164556205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMER ST.",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "01754",
            "telephone_number": "978-897-1014",
            "fax_number": "978-897-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUMMER ST.",
            "city": "MAYNARD",
            "state": "MA",
            "postal_code": "01754",
            "telephone_number": "978-897-1014",
            "fax_number": "978-897-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MAYNARD AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ADMIN. ASSIST. TO FIRE CHIEF",
        "authorized_official_telephone_number": "978-897-1014",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700469",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "800152",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Maynard Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maynard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.