Active NPI
Town of Walpole
- Land Ambulance
- Walpole, MA
National Provider Identifier
1205802220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF WALPOLE
- Doing business as
- Walpole Fire Department
- Practice address
- 20 Stone St
Walpole, MA 02081-2824 - Phone
- (508) 668-4573
- NPI assigned
- Feb 28, 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
- Timothy Bailey
- Title
- Chief
- Phone
- (508) 668-0260
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3894 | MA | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
20 Stone St
Walpole, MA 02081-2824
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1704362 | Medicaid | MA | |
| 0007278 | Other | NEIGHBORHOOD HEALTH | |
| 103502800 | Other | DEPARTMENT OF LABOR | |
| 700069 | Other | HARVARD PILGRIM | |
| 014259 | Other | MA | BLUE CROSS BLUE SHIELD |
| 441590600 | Other | RR MEDICARE | |
| 801491 | Other | TUFTS HEALTH PLAN | |
| 000000023391 | Other | BMC HEALTHNET PLAN |
Other names 1
- Walpole Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110610000148 | MA | Part B Supplier - Ambulance Service Supplier | 5799795092 | Practice locations: East Walpole, MA; Walpole, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
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 |
|---|---|---|---|
| 22D2321131 | Walpole Fire Department | Certificate of waiver | Mar 30, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Walpole
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Walpole, MA
- NPI 1295875847
Locations
20 Stone St
Walpole, MA 02081
Phone (508) 668-0260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634601600000",
"number": "1205802220",
"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": "20 STONE ST",
"city": "WALPOLE",
"state": "MA",
"postal_code": "020812824",
"telephone_number": "508-668-4573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WALPOLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-28",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "508-668-0260"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3894",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1704362",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0007278",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "103502800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "014259",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "441590600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "801491",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000023391",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Walpole Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Walpole Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Walpole, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.