Organization Active NPI

Town of Merrimac

  • Land Ambulance
  • Merrimac, MA
National Provider Identifier
1487789608
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3849 Issued in MA
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

Updated by the provider on Jun 16, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T0039159OtherMABLUE CROSS BLUE SHIELD
1708996MedicaidMA

Other names 1

  • Merrimac Fire Dept Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100802000217 MA Part B Supplier - Ambulance Service Supplier 0840200416 Practice locations: Merrimac, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2317912Town of Merrimac Ambulance Service16 East Main Street, Merrimac, MA 01860Certificate of waiverFeb 2, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.