Active NPI
Town of Bolton
- Land Ambulance
- Bolton, MA
National Provider Identifier
1164576054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF BOLTON
- Practice address
- 15 Wattaquadock Hill Road
Bolton, MA 01740 - Phone
- (978) 779-7800
- Fax
- (978) 779-6079
- NPI assigned
- Jan 22, 2007
- Last updated
- Dec 17, 2012
- 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
- Ms. Margaret J. Diaz
- Title
- Director
- Phone
- (978) 779-7801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
15 Wattaquadock Hill Road
Bolton, MA 01740
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other names 1
- Bolton Volunteer Ambulance Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090317000045 | MA | Part B Supplier - Ambulance Service Supplier | 0547327637 | Practice locations: Bolton, MA |
National Provider Directory
National Provider DirectoryLocations
15 Wattaquadock Hill Rd
Bolton, MA 01740
Phone (978) 779-5241
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355702400000",
"number": "1164576054",
"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": "15 WATTAQUADOCK HILL ROAD",
"city": "BOLTON",
"state": "MA",
"postal_code": "01740",
"telephone_number": "978-779-7800",
"fax_number": "978-779-6079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BOLTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2012-12-17",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "978-779-7801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bolton Volunteer Ambulance Squad",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bolton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; 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.