Active NPI
Town of Rutland
- Ambulance
- Rutland, MA
National Provider Identifier
1174501308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3697
- Legal business name
- TOWN OF RUTLAND
- Practice address
- 240 Main St
Rutland, MA 01543-1300 - Phone
- (508) 886-4211
- NPI assigned
- Jan 6, 2006
- 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
- Thomas Ruchala
- Title
- Chief
- Phone
- (508) 886-4211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3697 | MA | Primary |
Addresses
Primary practice location
240 Main St
Rutland, MA 01543-1300
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 801284 | Other | TUFTS HEALTH PLAN | |
| 1707337 | Medicaid | MA | |
| 034759 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0021209 | Other | NEIGHBORHOOD HEALTH | |
| 701933 | Other | HARVARD PILGRIM | |
| 137121FW | Other | NY | PREFERRED CARE |
| 7300 | Other | FALLON |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110621000605 | MA | Part B Supplier - Ambulance Service Supplier | 1557549524 | Practice locations: Rutland, MA |
National Provider Directory
National Provider DirectoryLocations
240 Main St
Rutland, MA 01543
Phone (508) 886-4211
9 N Main St
Ste 2K
Uxbridge, MA 01569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1174501308",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAIN ST",
"city": "RUTLAND",
"state": "MA",
"postal_code": "015431300",
"telephone_number": "508-886-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF RUTLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUCHALA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "508-886-4211"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3697",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "801284",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1707337",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "034759",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0021209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "701933",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "137121FW",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "7300",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rutland, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.