Active NPI
Town of Bridgewater
- Land Ambulance
- Bridgewater, MA
National Provider Identifier
1609814052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3622
- Legal business name
- TOWN OF BRIDGEWATER
- Practice address
- 22 School St
Bridgewater, MA 02324-2515 - Phone
- (508) 697-0900
- NPI assigned
- Jun 4, 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
- Thomas Levy
- Title
- Fire Chief
- Phone
- (508) 697-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3622 | MA | Primary |
Addresses
Primary practice location
22 School St
Bridgewater, MA 02324-2515
Mailing address
19 Norfolk Ave Ste B
South Easton, MA 02375-1911
Phone (888) 771-6115
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700044 | Other | MA | HARVARD PILGRIM HEALTH |
| 039659 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 800336 | Other | MA | TUFTS HEALTH PLAN |
| 1709151 | Medicaid | MA |
Other names 1
- Bridgewater 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 |
|---|---|---|---|---|
| O20090320000327 | MA | Part B Supplier - Ambulance Service Supplier | 6507923422 | Practice locations: Bridgewater, MA |
National Provider Directory
National Provider DirectoryLocations
22 School St
Bridgewater, MA 02324
Phone (508) 697-0900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592265600000",
"number": "1609814052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORFOLK AVE STE B",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751911",
"telephone_number": "888-771-6115",
"fax_number": "508-297-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SCHOOL ST",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023242515",
"telephone_number": "508-697-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BRIDGEWATER",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A",
"authorized_official_last_name": "LEVY",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-697-0900"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "700044",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "039659",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "800336",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1709151",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bridgewater Fire Department",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Bridgewater Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.