Town of Southborough

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3032 Issued in MA

Legal business name

TOWN OF SOUTHBOROUGH

Practice address

21 Main St
Southborough, MA 01772-1639

Phone

(508) 485-3235

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

John Mauro, Jr

Title

Chief

Phone

(508) 485-3235

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Southborough Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Southborough

  • Public Health or Welfare Agency
  • Southborough, MA
  • NPI 1376676130

  8729005541

  Same PAC ID

Tax ID family

Southborough Board of Health3 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.

• Town of Southborough

  • Local Education Agency (LEA)
  • Southborough, MA
  • NPI 1285752394
  NPD tax ID
• Town of Southborough

  • Public Health or Welfare Agency
  • Southborough, MA
  • NPI 1376676130
  NPD tax ID

Locations

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187136000000",
    "number": "1326018201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MAIN ST",
            "city": "SOUTHBOROUGH",
            "state": "MA",
            "postal_code": "017721639",
            "telephone_number": "508-485-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SOUTHBOROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2007-08-15",
        "status": "A",
        "authorized_official_last_name": "MAURO, JR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-485-3235"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0022607",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "037859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "151066XX",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708716",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "800634",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southborough Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ioana Tompkins, RPH
• Garifalia Toran, PHD, BCBA, LABA
• Julia Touhey
• Town Center Pediatrics
• Town of Southborough
• Town of Southborough
• Minhchau Tran, PHARMD
• Trinity Healthcare Partners, PLLC
• Eva Tumar Camblat
• Katie Twomey, MSW, LCSW

• Ambulance in Southborough, MA
• Providers in Southborough, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2007; 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.