Organization Active NPI

Town of Stoughton

Doing business as Stoughton Fire Department

  • Land Ambulance
  • Stoughton, MA
National Provider Identifier
1285681353
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
014359OtherMABCBS PROVIDER NUMBER
1706055MedicaidMA

Other names 1

  • Stoughton Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081105000186 MA Part B Supplier - Ambulance Service Supplier 0547170557 Practice locations: Stoughton, 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
22D2314190Stoughton Fire Department1550 Central St, Stoughton, MA 02072Certificate of waiverNov 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Stoughton Fire Department2 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.

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.

Verify at the official NPI Registry.