Active NPI
Town of Tisbury
- Ambulance
- Tisbury, MA
National Provider Identifier
1639142672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3153
- Legal business name
- TOWN OF TISBURY
- Practice address
- 51 Spring St
Tisbury, MA 02568-5501 - Phone
- (508) 696-4250
- NPI assigned
- Feb 9, 2006
- Last updated
- Nov 23, 2013
- 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
- Timothy McLean
- Title
- Treasurer
- Phone
- (508) 696-4250
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3153 | MA | Primary |
Addresses
Primary practice location
51 Spring St
Tisbury, MA 02568-5501
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014097 | Other | RR MEDICARE | |
| 706250 | Other | HARVARD PILGRIM | |
| 802758 | Other | TUFTS HEALTH PLAN | |
| 1720015 | Medicaid | MA | |
| 095059 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110628000329 | MA | Part B Supplier - Ambulance Service Supplier | 7618155375 | Practice locations: Vineyard Haven, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Tisbury School
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Vineyard Haven, MA
- NPI 1801919535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1385164800000",
"number": "1639142672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 SPRING ST",
"city": "TISBURY",
"state": "MA",
"postal_code": "025685501",
"telephone_number": "508-696-4250"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF TISBURY",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2013-11-23",
"status": "A",
"authorized_official_last_name": "MCLEAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "508-696-4250"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3153",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590014097",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "706250",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "802758",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1720015",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "095059",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tisbury, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2013; 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.