Organization Active NPI

Town of Harvard

  • Ambulance
  • Harvard, MA
National Provider Identifier
1417105370
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
M52095 Issued in MA
Legal business name
TOWN OF HARVARD
Practice address
13 Ayer Rd
Harvard, MA 01451-1461
Phone
(978) 456-4100
Fax
(978) 456-4107
NPI assigned
Sep 4, 2008
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Mr. Timothy P. Bragan
Title
Town Administrator
Phone
(978) 456-4100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X M52095 MA Primary

Addresses

Primary practice location

13 Ayer Rd
Harvard, MA 01451-1461

Mailing address

13 Ayer Rd
Harvard, MA 01451-1461
Phone (978) 456-4100

Other names 1

  • Harvard Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090402000071 MA Part B Supplier - Ambulance Service Supplier 0244387546 Practice locations: Harvard, MA

National Provider Directory

National Provider Directory

Locations

13 Ayer Rd
Harvard, MA 01451
Phone (978) 456-4100

40 Ayer Rd
Harvard, MA 01451
Phone (978) 456-4100

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1417105370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511461",
            "telephone_number": "978-456-4100",
            "fax_number": "978-456-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 AYER RD",
            "city": "HARVARD",
            "state": "MA",
            "postal_code": "014511461",
            "telephone_number": "978-456-4100",
            "fax_number": "978-456-4107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HARVARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-04",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "BRAGAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "TOWN ADMINISTRATOR",
        "authorized_official_telephone_number": "978-456-4100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "M52095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harvard Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harvard, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.