Active NPI
Town of Merrimac
- Land Ambulance
- Merrimac, MA
National Provider Identifier
1487789608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3849
- Legal business name
- TOWN OF MERRIMAC
- Practice address
- 16 E Main St
Merrimac, MA 01860-2019 - Phone
- (978) 346-8211
- Fax
- (978) 346-9227
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Larry S Fisher
- Title
- Fire Chief
- Phone
- (978) 346-8211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3849 | MA | Primary |
Addresses
Primary practice location
16 E Main St
Merrimac, MA 01860-2019
Mailing address
19 Norfolk Ave Ste B
South Easton, MA 02375-1911
Phone (888) 771-6115
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0039159 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1708996 | Medicaid | MA |
Other names 1
- Merrimac Fire Dept
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100802000217 | MA | Part B Supplier - Ambulance Service Supplier | 0840200416 | Practice locations: Merrimac, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2317912 | Town of Merrimac Ambulance Service | Certificate of waiver | Feb 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
28 School St
Merrimac, MA 01860
Phone (978) 346-9459
16 E Main St
Merrimac, MA 01860
Phone (508) 346-8111
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Public Health or Welfare Agency
- Merrimac, MA
- NPI 1285850651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592265600000",
"number": "1487789608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORFOLK AVE STE B",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751911",
"telephone_number": "888-771-6115",
"fax_number": "508-297-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E MAIN ST",
"city": "MERRIMAC",
"state": "MA",
"postal_code": "018602019",
"telephone_number": "978-346-8211",
"fax_number": "978-346-9227"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MERRIMAC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "978-346-8211",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3849",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "T0039159",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708996",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Merrimac Fire Dept",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Merrimac Fire Dept",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrimac, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.