Town of Ware

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3315 Issued in MA

Legal business name

TOWN OF WARE

Doing business as

Town of Ware Ambulance Service

Practice address

200 West St
Ware, MA 01082-1598

Phone

(413) 967-9631

Fax

(413) 967-9632

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Walter Coulombe

Title

Fire Chief

Phone

(413) 967-9631

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Town of Ware Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Town of Ware3 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 Ware

  • Public Health or Welfare Agency
  • Ware, MA
  • NPI 1073767927
  NPD tax ID
• Town of Ware

  • Local Education Agency (LEA)
  • Ware, MA
  • NPI 1215052212
  NPD tax ID

Locations

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1427179324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORFOLK AVE",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751911",
            "telephone_number": "508-297-2068",
            "fax_number": "508-297-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST ST",
            "city": "WARE",
            "state": "MA",
            "postal_code": "010821598",
            "telephone_number": "413-967-9631",
            "fax_number": "413-967-9632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "COULOMBE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "413-967-9631",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010859",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110030738A",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "010859",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Ware Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Ware Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theverthundiyil K Thomas, MD
• Joseph Aaron Ting, DMD
• Beverley June Tolar
• Town of Ware
• Town of Ware
• Alex Jayna Tremblay, LMT
• Audrie A Vantangoli, OTR/L
• Crystal Victory
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.