Spencer Rescue & Emergency Squad, Inc.
Organization Active NPI Land Ambulance · Sutton, MA
NPI 1508990813 · NPPES record last updated Jan 11, 2011
Key facts
- NPI
- 1508990813
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3308 (MA)
- Legal business name
- SPENCER RESCUE & EMERGENCY SQUAD, INC.
- Practice address
- 9 Main St Ste 2K
Sutton, MA 01590-1660 - Phone
- (508) 476-9740
- Fax
- (508) 476-9748
- NPI assigned
- Mar 16, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Gary D. Suter
- Title
- Executive Director
- Phone
- (508) 885-4476
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050301000252 | MA | Part B Supplier - Ambulance Service Supplier | 6002869138 | Practice locations: Spencer, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3308 | MA | Yes |
Addresses
Primary practice location
9 Main St Ste 2K
Sutton, MA 01590-1660
Mailing address
6 Bixby Rd
P.O. Box 147
Spencer, MA 01562-2402
Phone (508) 885-4476
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000005959 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1700847 | Medicaid | MA |
Other providers in Sutton, MA
- Samantha Santiago
- Senior Comfort Services, Inc.
- Marisa Skinner
- Linda L Small
- South County Chiropractic Inc
- Margareth Spencer
- Riley M Steele
- Carla Christine Stem
- Stephanie Stilla-Petrie
- Heather Stoddard
All providers in Sutton, MA · Land Ambulance in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.