Spencer Rescue & Emergency Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3308 Issued in 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

Last updated

Jan 11, 2011By 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

Mr. Gary D. Suter

Title

Executive Director

Phone

(508) 885-4476

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1508990813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BIXBY RD",
            "address_2": "P.O. BOX 147",
            "city": "SPENCER",
            "state": "MA",
            "postal_code": "015622402",
            "telephone_number": "508-885-4476",
            "fax_number": "508-885-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 MAIN ST STE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPENCER RESCUE & EMERGENCY SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "SUTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-885-4476",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0000005959",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700847",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Sutton, MA
• Providers in Sutton, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.