Organization Active NPI

Town of Raynham

  • Land Ambulance
  • Raynham, MA
National Provider Identifier
1598867624
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3136 Issued in MA
Legal business name
TOWN OF RAYNHAM
Doing business as
Raynham Fire Department
Practice address
37 Orchard St
Raynham, MA 02767-5332
Phone
(508) 824-2713
Fax
(508) 821-3607
NPI assigned
Sep 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
James T Januse
Title
Fire Chief
Phone
(508) 824-2713

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3136 MA Primary

Addresses

Primary practice location

37 Orchard St
Raynham, MA 02767-5332

Mailing address

37 Orchard St
Raynham, MA 02767-5332
Phone (508) 824-2713

Other identifiers 4

IdentifierTypeStateIssuer
1709356MedicaidMA
0000070859OtherMABC BS OF MA
0013062OtherMANEIGHBORHOOD HEALTH PLAN
801556OtherMATUFTS HEALTH PLAN

Other names 1

  • Raynham Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110218000997 MA Part B Supplier - Ambulance Service Supplier 9133300437 Practice locations: Raynham, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2340540Raynham Fire Department37 Orchard St, Raynham, MA 02767Certificate of waiverMar 17, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1598867624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 ORCHARD ST",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675332",
            "telephone_number": "508-824-2713",
            "fax_number": "508-821-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 ORCHARD ST",
            "city": "RAYNHAM",
            "state": "MA",
            "postal_code": "027675332",
            "telephone_number": "508-824-2713",
            "fax_number": "508-821-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF RAYNHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "JANUSE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-824-2713"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709356",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS OF MA",
            "identifier": "0000070859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0013062",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "801556",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raynham Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raynham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.