West Brookfield Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3319 Issued in MA

Legal business name

WEST BROOKFIELD RESCUE SQUAD, INC.

Practice address

18 W Main St
West Brookfield, MA 01585-2878

Phone

(508) 637-1778

NPI assigned

Oct 24, 2007

Organization subpart

No

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

Authorized official

Name

Daniel McCall

Title

Chief

Phone

(508) 637-1778

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1619156809",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W MAIN ST",
            "city": "WEST BROOKFIELD",
            "state": "MA",
            "postal_code": "015852878",
            "telephone_number": "508-637-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST BROOKFIELD RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-24",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-637-1778"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Q00979",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720597",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie Elizabeth Tudor
• Faye Patricia Turcotte, SLP
• Carrie Vadnais-Barraco, M.A., LMHC
• West Brookfield Counseling Center Inc
• West Brookfield Family Practice
• Westbrook Heights Rest Home, Inc.
• James Cornelius Wilson III

• Land Ambulance in West Brookfield, MA
• Providers in West Brookfield, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.