Active NPI
Town of Stoughton
Doing business as Stoughton Fire Department
- Land Ambulance
- Stoughton, MA
National Provider Identifier
1285681353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF STOUGHTON
- Doing business as
- Stoughton Fire Department
- Practice address
- 1550 Central St
Stoughton, MA 02072-1600 - Phone
- (781) 344-3170
- Fax
- (781) 341-3927
- NPI assigned
- May 27, 2006
- Last updated
- Jan 27, 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
- Mr. Michael Carroll
- Title
- Fire Chief
- Phone
- (781) 344-3170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
1550 Central St
Stoughton, MA 02072-1600
Mailing address
PO Box 4110
Dept 7360
Woburn, MA 01888-4110
Phone (617) 492-8484
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014359 | Other | MA | BCBS PROVIDER NUMBER |
| 1706055 | Medicaid | MA |
Other names 1
- Stoughton 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 |
|---|---|---|---|---|
| O20081105000186 | MA | Part B Supplier - Ambulance Service Supplier | 0547170557 | Practice locations: Stoughton, 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 |
|---|---|---|---|
| 22D2314190 | Stoughton Fire Department | Certificate of waiver | Nov 13, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Stoughton Fire Department
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Stoughton, MA
- NPI 1891821625
Locations
1550 Central St
Stoughton, MA 02072
Phone (781) 344-3170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643241600000",
"number": "1285681353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4110",
"address_2": "DEPT 7360",
"city": "WOBURN",
"state": "MA",
"postal_code": "018884110",
"telephone_number": "617-492-8484",
"fax_number": "617-492-0806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 CENTRAL ST",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020721600",
"telephone_number": "781-344-3170",
"fax_number": "781-341-3927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF STOUGHTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2022-01-27",
"certification_date": "2022-01-27",
"status": "A",
"authorized_official_last_name": "CARROLL",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "781-344-3170",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "014359",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1706055",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stoughton Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.