Active NPI
Town of Raynham
- Land Ambulance
- Raynham, MA
National Provider Identifier
1598867624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3136
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1709356 | Medicaid | MA | |
| 0000070859 | Other | MA | BC BS OF MA |
| 0013062 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 801556 | Other | MA | TUFTS HEALTH PLAN |
Other names 1
- Raynham Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110218000997 | MA | Part B Supplier - Ambulance Service Supplier | 9133300437 | Practice locations: Raynham, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2340540 | Raynham Fire Department | Certificate of waiver | Mar 17, 2028 |
National Provider Directory
National Provider DirectoryNPI 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.