Active NPI
Town of Boylston
- Basic Emergency Medical Technician
- Boylston, MA
National Provider Identifier
1194879007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Legal business name
- TOWN OF BOYLSTON
- Practice address
- 599 Main St
Boylston, MA 01505-0634 - Phone
- (508) 869-2342
- Fax
- (508) 869-6101
- NPI assigned
- Jan 22, 2007
- Last updated
- Jul 21, 2022
- 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
- Joseph Flanagan
- Title
- Fire Chief
- Phone
- (508) 869-2342
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | MA | Primary |
Addresses
Primary practice location
599 Main St
Boylston, MA 01505-0634
Mailing address
PO Box 634
599 Main Street
Boylston, MA 01505-0634
Phone (508) 869-2342
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 035459 | Other | MA | BCBSMA |
| 804092 | Other | MA | TUFTS |
| 035459 | Other | MA | FALLON COMMUNITY HEALTH |
| 1715461 | Other | MA | NETWORK HEALTH |
| 1715461 | Medicaid | MA | |
| 701220 | Other | MA | HARVARD PILGRIM HEALTHCAR |
Other names 1
- Boylston Fire Department Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130524000351 | MA | Part B Supplier - Ambulance Service Supplier | 0547408973 | Practice locations: Boylston, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2327827 | Boylston Fire Department | Certificate of waiver | Jul 29, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Boylston Fire Department Ambulance
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Boylston, MA
- NPI 1295060283
-
- Local Education Agency (LEA)
- Boylston, MA
- NPI 1376665059
Locations
599 Main St
Boylston, MA 01505
Phone (508) 869-2342
599 Main St
#634
Boylston, MA 01505
Phone (508) 869-2261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1194879007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 634",
"address_2": "599 MAIN STREET",
"city": "BOYLSTON",
"state": "MA",
"postal_code": "015050634",
"telephone_number": "508-869-2342",
"fax_number": "508-869-6101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "599 MAIN ST",
"city": "BOYLSTON",
"state": "MA",
"postal_code": "015050634",
"telephone_number": "508-869-2342",
"fax_number": "508-869-6101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BOYLSTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FLANAGAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-869-2342"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "035459",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "804092",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH",
"identifier": "035459",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "1715461",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715461",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "701220",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Boylston Fire Department Ambulance",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.