Town of Bolton
Organization Active NPI Land Ambulance · Bolton, MA
NPI 1164576054 · NPPES record last updated Dec 17, 2012
Key facts
- NPI
- 1164576054
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- 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
- Organization subpart
- No
Authorized official
- Name
- Ms. Margaret J. Diaz
- Title
- Director
- Phone
- (978) 779-7801
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090317000045 | MA | Part B Supplier - Ambulance Service Supplier | 0547327637 | Practice locations: Bolton, MA |
National Provider Directory
Locations
15 Wattaquadock Hill Rd
Bolton, MA 01740
Phone (978) 779-5241
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1721135 | Medicaid | MA | |
| ZM0918 | Other | MA | BCBS PROVIDER NUMBER |
Other names
- Bolton Volunteer Ambulance Squad
Other providers in Bolton, MA
- Alyson Kate Suduiko
- Wendy Robin Sullivan
- Samantha N Sundermeyer
- The Healing Tree, LLC
- TMJ & Sleep Therapy Centre of New England
- Leigh Dexter Tuttle
- Richard R. Waller Jr.
- Dana Fene Walton
- Ruth A Wilson
All providers in Bolton, MA · Land Ambulance in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 17, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.