Organization Active NPI

Town of Tyngsborough

  • Land Ambulance
  • Tyngsboro, MA
National Provider Identifier
1164973046
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF TYNGSBOROUGH
Practice address
26 Kendall Rd
Tyngsboro, MA 01879-1013
Phone
(978) 649-7671
Fax
(978) 649-2301
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Timothy J Madden
Title
Chief
Phone
(978) 649-7671

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

26 Kendall Rd
Tyngsboro, MA 01879-1013

Mailing address

26 Kendall Rd
Tyngsboro, MA 01879-1013
Phone (978) 649-7671

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108000178 MA Part B Supplier - Ambulance Service Supplier 7911968953 Practice locations: Tyngsboro, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Tyngsborough2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

25 Bryant Ln
Tyngsboro, MA 01879
Phone (978) 649-2300

26 Kendall Rd
Tyngsboro, MA 01879
Phone (978) 649-7671

180 Lakeview Ave
Tyngsboro, MA 01879
Phone (978) 649-9211

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1164973046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 KENDALL RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791013",
            "telephone_number": "978-649-7671",
            "fax_number": "978-649-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 KENDALL RD",
            "city": "TYNGSBORO",
            "state": "MA",
            "postal_code": "018791013",
            "telephone_number": "978-649-7671",
            "fax_number": "978-649-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TYNGSBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "978-649-7671"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyngsboro, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2016; 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.