Town of Whitman

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3166 Issued in MA

Legal business name

TOWN OF WHITMAN

Doing business as

Whitman Ambulance Service

Practice address

56 Temple St
Whitman, MA 02382-1324

Phone

(781) 447-7626

Fax

(781) 447-7623

NPI assigned

Jun 17, 2006

Organization subpart

No

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

Authorized official

Name

Timothy J. Grenno, F.C.

Title

Fire Chief

Phone

(781) 447-7626

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Whitman Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Tax ID family

Great River Medical Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Ameris of Arkansas, LLC

  dba Great River Residential Academy

  • Psychiatric Residential Treatment Facility
  • Osceola, AR
  • NPI 1104033976
  NPD tax ID
• Ameris of Arkansas, LLC

  dba Great River Medical Center

  • General Acute Care Hospital
  • Blytheville, AR
  • NPI 1710042429
  NPD tax ID

Locations

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592352000000",
    "number": "1699710574",
    "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": "56 TEMPLE ST",
            "city": "WHITMAN",
            "state": "MA",
            "postal_code": "023821324",
            "telephone_number": "781-447-7626",
            "fax_number": "781-447-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WHITMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A",
        "authorized_official_last_name": "GRENNO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "781-447-7626",
        "authorized_official_credential": "F.C."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0017211",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "039759",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "A093",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709135",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitman Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Whitman Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Foundational Reading & Educational Development Center, LLC
• The Healing Path
• The Healing Path Care Farm LLC
• Elaine Jean Thomas, LMHC
• Stephanie Alise Thompson, M.ED.
• Town of Whitman (Whitman Hanson Regional SCH Dis)
• Nicholas M Tsanotelis, MD
• Tina M Vassil, OTR/L
• Danielle Venuto
• Gabriel Pujoni Vieira

• Land Ambulance in Whitman, MA
• Providers in Whitman, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.