Town of Dover
Organization Active NPI Ambulance · Dover, MA
NPI 1528057320 · NPPES record last updated Sep 27, 2013
Key facts
- NPI
- 1528057320
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 3605 (MA)
- Legal business name
- TOWN OF DOVER
- Practice address
- 5 Springdale Ave
Dover, MA 02030-2373 - Phone
- (508) 785-1130
- NPI assigned
- Oct 14, 2005
- Organization subpart
- No
Authorized official
- Name
- David Tiberi
- Title
- Administration
- Phone
- (508) 785-1130
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110505000021 | MA | Part B Supplier - Ambulance Service Supplier | 4688859739 | Practice locations: Dover, MA |
National Provider Directory
- Tax ID family
- Dover Ambulance
Locations
5 Springdale Ave
Dover, MA 02030
Phone (508) 785-1130
1 Walpole St
Dover, MA 02030
Phone (508) 785-1130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3605 | MA | Yes |
Addresses
Primary practice location
5 Springdale Ave
Dover, MA 02030-2373
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046001072 | Other | TRICARE | |
| 800783 | Other | TUFTS HEALTH PLAN | |
| 1716085 | Medicaid | MA | |
| 700178 | Other | HARVARD PILGRIM | |
| 033059 | Other | MA | BLUE CROSS BLUE SHEILD |
| 590011206 | Other | RR MEDICARE |
Other names
- Dover Ambulance
Other providers in Dover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2013. 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.