Town of Yarmouth

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF YARMOUTH

Practice address

96 Old Main St
S Yarmouth, MA 02664-6010

Phone

(508) 398-2212

Fax

(508) 760-4861

NPI assigned

May 22, 2006

Last updated

Jun 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Walker

Title

Fire Chief

Phone

(508) 398-2212

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1255385225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 OLD MAIN ST",
            "city": "S YARMOUTH",
            "state": "MA",
            "postal_code": "026646010",
            "telephone_number": "508-398-2212",
            "fax_number": "508-760-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF YARMOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-398-2212"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "095759",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714805",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon E Smith, PT
• Stephen L Smith
• Stevens Eye Care Associates PLLC
• Sandra Stuhr, LICSW
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #22)
• Wendy Marie Treash, PA-C
• Brian J Trudnak, DC
• Michael Dennis Weber, PT, DPT, MS, OCS
• Amy Zaliski, PT

• Land Ambulance in S Yarmouth, MA
• Providers in S Yarmouth, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.