NPIMap

Organization Active NPI

Town of Halifax

Doing business as Town of Halifax Ambulance

  • Land Ambulance
  • Halifax, MA
National Provider Identifier
1548215445
Registry record updated Nov 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3659 Issued in MA
Legal business name
TOWN OF HALIFAX
Doing business as
Town of Halifax Ambulance
Practice address
499 Plymouth St
Halifax Fire Department
Halifax, MA 02338-1338
Phone
(781) 293-1751
Fax
(781) 293-6635
NPI assigned
May 23, 2006
Last updated
Nov 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Forsstrom
Title
Administrative Assistant
Phone
(781) 293-1751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3659 MA Primary

Addresses

Primary practice location

499 Plymouth St
Halifax Fire Department
Halifax, MA 02338-1338

Mailing address

499 Plymouth St
Collector's Office
Halifax, MA 02338-1338
Phone (781) 293-1751

Other names 1

  • Town of Halifax Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070905000699 MA Part B Supplier - Ambulance Service Supplier 5698875276 Practice locations: Halifax, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Halifax3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

438 Plymouth St
Halifax, MA 02338
Phone (781) 293-1751

499 Plymouth St
Ofc
Halifax, MA 02338

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352332800000",
    "number": "1548215445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 PLYMOUTH ST",
            "address_2": "COLLECTOR'S OFFICE",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023381338",
            "telephone_number": "781-293-1751",
            "fax_number": "781-293-6635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 PLYMOUTH ST",
            "address_2": "HALIFAX FIRE DEPARTMENT",
            "city": "HALIFAX",
            "state": "MA",
            "postal_code": "023381338",
            "telephone_number": "781-293-1751",
            "fax_number": "781-293-6635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HALIFAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-11-08",
        "status": "A",
        "authorized_official_last_name": "FORSSTROM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "781-293-1751"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Halifax Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Halifax, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; 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.