NPIMap

Organization Active NPI

Town of Essex

Doing business as Essex Fire Department

  • Ambulance
  • Essex, MA
National Provider Identifier
1447240759
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3183 Issued in MA
Legal business name
TOWN OF ESSEX
Doing business as
Essex Fire Department
Practice address
24 Martin St
Essex, MA 01929-1256
Phone
(978) 768-6363
NPI assigned
Oct 27, 2005
Last updated
Sep 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Authorized official

Name
Daniel M Doucette
Title
Chief
Phone
(978) 768-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3183 MA Primary

Addresses

Primary practice location

24 Martin St
Essex, MA 01929-1256

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706

Other identifiers 6

IdentifierTypeStateIssuer
703424OtherHARVARD PILGRIM
013659OtherMABCBS
0026129OtherNEIGHBORHOOD HEALTH
1716018MedicaidMA
801898OtherTUFTS HEALTH PLAN
590013383OtherRR MEDICARE

Other names 1

  • Essex Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000238 MA Part B Supplier - Ambulance Service Supplier 5890741912 Practice locations: Essex, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Essex Fire Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11 John Wise Ave
Essex, MA 01929
Phone (978) 768-6363

24 Martin St
Essex, MA 01929
Phone (978) 768-6363

30 Martin St
Essex, MA 01929
Phone (978) 768-7614

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1447240759",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 MARTIN ST",
            "city": "ESSEX",
            "state": "MA",
            "postal_code": "019291256",
            "telephone_number": "978-768-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ESSEX",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-27",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "DOUCETTE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "978-768-6363"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703424",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "013659",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0026129",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1716018",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801898",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590013383",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Essex Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Essex Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Essex, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.