Organization Active NPI

Town of Freetown

  • Ambulance
  • East Freetown, MA
National Provider Identifier
1306835889
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3104 Issued in MA
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

Updated by the provider on Jun 16, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1714538MedicaidMA

Other names 1

  • Freetown Fire Dept/Freetown Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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
22D2317975Freetown Fire & Rescue25 Bullock Road, East Freetown, MA 02717Certificate of waiverFeb 3, 2027

National Provider Directory

National Provider Directory
Tax ID family
Freetown Public Schools3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

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.

Verify at the official NPI Registry.