Organization Active NPI

Town of Stow

  • Ambulance
  • Stow, MA
National Provider Identifier
1386617819
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3516 Issued in MA
Legal business name
TOWN OF STOW
Practice address
511 Great Rd
Stow, MA 01775-1054
Phone
(978) 897-4537
NPI assigned
Feb 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Joseph Landry
Title
Chief
Phone
(978) 897-4537

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3516 MA Primary

Addresses

Primary practice location

511 Great Rd
Stow, MA 01775-1054

Mailing address

PO Box 4110
Dept 3380
Woburn, MA 01888-4110
Phone (978) 897-4537

Other identifiers 8

IdentifierTypeStateIssuer
1720473MedicaidMA
90007625OtherRR MEDICARE
802128OtherTUFTS HEALTH PLAN
0022172OtherNEIGHBORHOOD HEALTH
000000026628OtherBMC HEALTHNET PLAN
606569200OtherDEPARTMENT OF LABOR
700789OtherHARVARD PILGRIM
076659OtherMABLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110524000383 MA Part B Supplier - Ambulance Service Supplier 1759567928 Practice locations: Stow, MA

National Provider Directory

National Provider Directory

Locations

511 Great Rd
Stow, MA 01775
Phone (508) 897-4537

16 Crescent St
Stow, MA 01775
Phone (978) 897-4537

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1386617819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110",
            "address_2": "DEPT 3380",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "978-897-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 GREAT RD",
            "city": "STOW",
            "state": "MA",
            "postal_code": "017751054",
            "telephone_number": "978-897-4537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF STOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "978-897-4537"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720473",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "90007625",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "802128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0022172",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000026628",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "606569200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700789",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "076659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.