Town of Chatham

Key facts

NPI

1366478869

Entity type

Organization (NPI type 2)

Primary specialty

Land Ambulance 3416L0300X

Legal business name

TOWN OF CHATHAM

Practice address

135 Depot Rd
Chatham, MA 02633-2011

Phone

(508) 945-2324

Fax

(508) 945-5120

NPI assigned

Jun 25, 2006

Organization subpart

No

Authorized official

Name

Michael Ambriscoe

Title

Fire Chief

Phone

(508) 945-2324

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 17, 2008.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1366478869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 DEPOT RD",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026332011",
            "telephone_number": "508-945-2324",
            "fax_number": "508-945-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHATHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "AMBRISCOE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-945-2324"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710443",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "038459",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatham, MA

• Roxanne Cumming
• Shining Oak Wellness
• Hamilton McClain Sporborg, D.D.S.
• Susan Frances Thibadeau, PHD BCBA
• Mitchell Scott Tishler, DC
• Town of Chatham
• Uplift Physical Therapy and Wellness, PLLC
• Donald Carman Waugh, MD
• Kristin Whitfield, LIC.AC.
• Denise Yocum, PSY.D.

All providers in Chatham, MA · Land Ambulance in Massachusetts