Active NPI
Town of West Boylston
- Ambulance
- West Boylston, MA
National Provider Identifier
1568439149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3318
- Legal business name
- TOWN OF WEST BOYLSTON
- Practice address
- 39 Worcester St
West Boylston, MA 01583-1412 - Phone
- (508) 835-3233
- NPI assigned
- Mar 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tom Welsh Jr.
- Title
- Chief
- Phone
- (508) 835-3233
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3318 | MA | Primary |
Addresses
Primary practice location
39 Worcester St
West Boylston, MA 01583-1412
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1714651 | Medicaid | MA | |
| 701640 | Other | HARVARD PILGRIM | |
| 0008270 | Other | NEIGHBORHOOD HEALTH | |
| 095159 | Other | MA | BLUE CROSS BLUE SHIELD |
| 7385 | Other | FALLON | |
| 802111 | Other | TUFTS HEALTH PLAN | |
| 590008799 | Other | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120314000021 | MA | Part B Supplier - Ambulance Service Supplier | 8921267758 | Practice locations: West Boylston, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Town of West Boylston
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- West Boylston, MA
- NPI 1780700385
Locations
39 Worcester St
West Boylston, MA 01583
Phone (508) 835-3233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410912000000",
"number": "1568439149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 WORCESTER ST",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015831412",
"telephone_number": "508-835-3233"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WEST BOYLSTON",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-02",
"last_updated": "2014-09-17",
"status": "A",
"authorized_official_last_name": "WELSH",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "508-835-3233",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1714651",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "701640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0008270",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "095159",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "7385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "802111",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590008799",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Boylston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.