Organization Active NPI

Town of Rutland

  • Ambulance
  • Rutland, MA
National Provider Identifier
1174501308
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3697 Issued in MA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
801284OtherTUFTS HEALTH PLAN
1707337MedicaidMA
034759OtherMABLUE CROSS BLUE SHIELD
0021209OtherNEIGHBORHOOD HEALTH
701933OtherHARVARD PILGRIM
137121FWOtherNYPREFERRED CARE
7300OtherFALLON

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110621000605 MA Part B Supplier - Ambulance Service Supplier 1557549524 Practice locations: Rutland, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.