Active NPI
Town of Freetown
- Ambulance
- East Freetown, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3104
- Legal business name
- TOWN OF FREETOWN
- Doing business as
- Freetown Fire Dept/Freetown Fire & Rescue
- Practice address
- 25 Bullock Rd
East Freetown, MA 02717-1018 - Phone
- (508) 763-4828
- Fax
- (508) 763-4837
- NPI assigned
- Oct 18, 2005
- 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. Wayne A Haskins
- Title
- Fire Chief
- Phone
- (508) 763-4828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3104 | MA | Primary |
Addresses
Primary practice location
25 Bullock Rd
East Freetown, MA 02717-1018
Mailing address
25 Bullock Rd
East Freetown, MA 02717-1018
Phone (508) 763-4828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1714538 | Medicaid | MA |
Other names 1
- Freetown Fire Dept/Freetown Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070724000343 | MA | Part B Supplier - Ambulance Service Supplier | 8022119833 | Practice locations: East Freetown, 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 |
|---|---|---|---|
| 22D2317975 | Freetown Fire & Rescue | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Freetown Public Schools
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Middleboro, MA
- NPI 1639207699
-
- Public Health or Welfare Agency
- Assonet, MA
- NPI 1912651910
Locations
25 Bullock Rd
East Freetown, MA 02717
Phone (508) 763-4828
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Public Health or Welfare Agency
- Assonet, MA
- NPI 1912651910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1306835889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 BULLOCK RD",
"city": "EAST FREETOWN",
"state": "MA",
"postal_code": "027171018",
"telephone_number": "508-763-4828",
"fax_number": "508-763-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 BULLOCK RD",
"city": "EAST FREETOWN",
"state": "MA",
"postal_code": "027171018",
"telephone_number": "508-763-4828",
"fax_number": "508-763-4837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF FREETOWN",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-18",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "HASKINS",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-763-4828",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3104",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1714538",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Freetown Fire Dept/Freetown Fire & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in East Freetown, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.