Organization Active NPI

Town of Bridgewater

  • Land Ambulance
  • Bridgewater, MA
National Provider Identifier
1609814052
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3622 Issued in MA
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

Updated by the provider on Jun 16, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
700044OtherMAHARVARD PILGRIM HEALTH
039659OtherMABLUE CROSS & BLUE SHIELD
800336OtherMATUFTS HEALTH PLAN
1709151MedicaidMA

Other names 1

  • Bridgewater Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090320000327 MA Part B Supplier - Ambulance Service Supplier 6507923422 Practice locations: Bridgewater, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.