NPIMap

Organization Active NPI

Town of Oak Bluffs

  • Ambulance
  • Oak Bluffs, MA
National Provider Identifier
1255318903
Registry record updated Oct 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3127 Issued in MA
Legal business name
TOWN OF OAK BLUFFS
Doing business as
Oak Bluffs Ambulance Service
Practice address
6 Firehouse Road
Oak Bluffs, MA 02557
Phone
(508) 693-0077
NPI assigned
Dec 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Rose
Title
Chief
Phone
(508) 693-0077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3127 MA Primary

Addresses

Primary practice location

6 Firehouse Road
Oak Bluffs, MA 02557

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 7

IdentifierTypeStateIssuer
095559OtherMABLUE CROSS BLUE SHIELD
700245OtherHARVARD PILGRIM
000000022680OtherBMC HEALTHNET PLAN
590010121OtherRR MEDICARE
1720341MedicaidMA
9863991OtherG. H. I INSURANCE
801878OtherTUFTS HEALTH PLAN

Other names 1

  • Oak Bluffs Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000513 MA Part B Supplier - Ambulance Service Supplier 8921143546 Practice locations: Oak Bluffs, MA

National Provider Directory

National Provider Directory
Tax ID family
Oak Bluffs Ambulance Service2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382227200000",
    "number": "1255318903",
    "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": "6 FIREHOUSE ROAD",
            "city": "OAK BLUFFS",
            "state": "MA",
            "postal_code": "02557",
            "telephone_number": "508-693-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF OAK BLUFFS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2013-10-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-693-0077"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "095559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700245",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000022680",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010121",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720341",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G. H. I INSURANCE",
            "identifier": "9863991",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Bluffs Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Bluffs, 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.

Verify at the official NPI Registry.