Organization Active NPI

Town of Boylston

  • Basic Emergency Medical Technician
  • Boylston, MA
National Provider Identifier
1194879007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Basic Emergency Medical TechnicianTaxonomy code 146N00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
035459OtherMABCBSMA
804092OtherMATUFTS
035459OtherMAFALLON COMMUNITY HEALTH
1715461OtherMANETWORK HEALTH
1715461MedicaidMA
701220OtherMAHARVARD PILGRIM HEALTHCAR

Other names 1

  • Boylston Fire Department Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130524000351 MA Part B Supplier - Ambulance Service Supplier 0547408973 Practice locations: Boylston, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2327827Boylston Fire Department599 Main Street, Boylston, MA 01505Certificate of waiverJul 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Boylston Fire Department Ambulance3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.