NPIMap

Organization Active NPI

Town of Rockport

  • Land Ambulance
  • Rockport, MA
National Provider Identifier
1679516462
Registry record updated Nov 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3205 Issued in MA
Legal business name
TOWN OF ROCKPORT
Practice address
37 Broadway
Rockport, MA 01966-1538
Phone
(978) 479-3487
Fax
(978) 546-7297
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2019

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

Authorized official

Name
Rosemary Lesch
Title
Ambulance Department Head
Phone
(978) 479-3487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 3205 MA Primary

Addresses

Primary practice location

37 Broadway
Rockport, MA 01966-1538

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other names 1

  • Rockport Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120419000296 MA Part B Supplier - Ambulance Service Supplier 4082511233 Practice locations: Rockport, MA

National Provider Directory

National Provider Directory
Tax ID family
Rockport Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

37 Broadway
Rockport, MA 01966
Phone (978) 479-3487

37 Broadway
#R
Rockport, MA 01966
Phone (978) 479-3487

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572825600000",
    "number": "1679516462",
    "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",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BROADWAY",
            "city": "ROCKPORT",
            "state": "MA",
            "postal_code": "019661538",
            "telephone_number": "978-479-3487",
            "fax_number": "978-546-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ROCKPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-11-04",
        "status": "A",
        "authorized_official_last_name": "LESCH",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "AMBULANCE DEPARTMENT HEAD",
        "authorized_official_telephone_number": "978-479-3487"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rockport Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rockport Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockport, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.