NPIMap

Organization Active NPI

Town of East Brookfield

  • Ambulance
  • East Brookfield, MA
National Provider Identifier
1356330393
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3275 Issued in MA
Legal business name
TOWN OF EAST BROOKFIELD
Practice address
273 E Main St
East Brookfield, MA 01515-1617
Phone
(508) 867-3124
NPI assigned
Oct 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Miller
Title
Administration
Phone
(508) 867-3124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3275 MA Primary

Addresses

Primary practice location

273 E Main St
East Brookfield, MA 01515-1617

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 9

IdentifierTypeStateIssuer
0625800OtherANTHEM BLUE CROSS
1713213MedicaidMA
7074OtherFALLON COMMUNITY
0460001138OtherTRICARE
0017791OtherNEIGHBORHOOD HEALTH
701954OtherCTHARVARD PILGRIM
803118OtherTUFTS HEALTH PLAN
077259OtherMABLUE CROSS BLUE SHIELD
30820319MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110616000630 MA Part B Supplier - Ambulance Service Supplier 2264610476 Practice locations: East Brookfield, MA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356330393",
    "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",
            "telephone_number": "800-488-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 E MAIN ST",
            "city": "EAST BROOKFIELD",
            "state": "MA",
            "postal_code": "015151617",
            "telephone_number": "508-867-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF EAST BROOKFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "508-867-3124"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "0625800",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713213",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY",
            "identifier": "7074",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "0460001138",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0017791",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "701954",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "803118",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "077259",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30820319",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brookfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.