Town of Brookfield

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3270 Issued in MA

Legal business name

TOWN OF BROOKFIELD

Doing business as

Brookfield Emergency Squad, Inc.

Practice address

6 Central St
Brookfield, MA 01506-1612

Phone

(508) 867-6036

NPI assigned

Sep 30, 2005

Last updated

Oct 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Peter Martell

Title

Captain

Phone

(508) 867-6036

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Brookfield Emergency Squad, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Brookfield Emergency Squad Inc2 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.

• Town of Brookfield

  • Local Education Agency (LEA)
  • Fiskdale, MA
  • NPI 1467577338
  NPD tax ID

Locations

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1447247887",
    "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",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CENTRAL ST",
            "city": "BROOKFIELD",
            "state": "MA",
            "postal_code": "015061612",
            "telephone_number": "508-867-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BROOKFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MARTELL",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "508-867-6036"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "7036",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH CA",
            "identifier": "700780",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "725431",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712322",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000022164",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "081559",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0017787",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590005871",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookfield Emergency Squad, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Caitlin Lawrence, CCC-SLP
• Dixie Lee Lyons, M.A.
• Doreen Neifert, LICSW
• Keith Warren Patch, PARAMEDIC
• Success Counseling and Coaching

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.