Active NPI
Town of Sandwich
- Ambulance
- Sandwich, MA
National Provider Identifier
1184604985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3142
- Legal business name
- TOWN OF SANDWICH
- Practice address
- 130 Main St
Sandwich, MA 02563-2208 - Phone
- (508) 888-0525
- NPI assigned
- Jan 18, 2006
- Last updated
- Oct 20, 2013
- 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
- George Russell
- Title
- Chief
- Phone
- (508) 888-0525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3142 | MA | Primary |
Addresses
Primary practice location
130 Main St
Sandwich, MA 02563-2208
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000025588 | Other | BMC HEALTHNET PLAN | |
| 030959 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0024630 | Other | NEIGHBORHOOD HEALTH | |
| 9572 | Other | FALLON COMMUNITY HEALTH | |
| 590002412 | Other | RR MEDICARE | |
| 1706101 | Medicaid | MA | |
| 700074 | Other | HARVARD PILGRIM | |
| 801307 | Other | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100324000281 | MA | Part B Supplier - Ambulance Service Supplier | 0749283331 | Practice locations: East Sandwich, MA; Sandwich, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Sandwich Public Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Sandwich, MA
- NPI 1386774875
Locations
115 Route 6A
Sandwich, MA 02563
Phone (508) 477-7064
130 Main St
Sandwich, MA 02563
Phone (508) 888-0525
145 Main St
Sandwich, MA 02563
Phone (508) 888-0525
251 Cotuit Rd
Sandwich, MA 02563
Phone (508) 888-0525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1382227200000",
"number": "1184604985",
"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",
"telephone_number": "800-488-4351",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 MAIN ST",
"city": "SANDWICH",
"state": "MA",
"postal_code": "025632208",
"telephone_number": "508-888-0525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF SANDWICH",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2013-10-20",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "GEORGE",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "508-888-0525"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3142",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000025588",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "030959",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0024630",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "9572",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590002412",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1706101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700074",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "801307",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sandwich, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2013; 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.