Organization Active NPI

Town of Avon

  • Ambulance
  • Avon, MA
National Provider Identifier
1700915923
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3391 Issued in MA
Legal business name
TOWN OF AVON
Practice address
150 Main St
Avon, MA 02322-1408
Phone
(508) 583-5361
Fax
(508) 583-0002
NPI assigned
Mar 5, 2007
Last updated
Jul 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Robert W Spurr Jr.
Title
Fire Chief
Phone
(508) 583-5361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3391 MA Primary

Addresses

Primary practice location

150 Main St
Avon, MA 02322-1408

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
1704745MedicaidMA
800776OtherMATUFTS
700194OtherMAHARVARD PILGRIM
075659OtherMABLUE CROSS BLUE SHIELD

Other names 1

  • AVON FIRE DEPARTMENT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070723000484 MA Part B Supplier - Ambulance Service Supplier 7315048246 Practice locations: Avon, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2319381Avon Fire Department150 Main Street, Avon, MA 02322Certificate of waiverFeb 26, 2027

National Provider Directory

National Provider Directory

Locations

150 Main St
Avon, MA 02322
Phone (508) 583-5361

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1700915923",
    "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": "150 MAIN ST",
            "city": "AVON",
            "state": "MA",
            "postal_code": "023221408",
            "telephone_number": "508-583-5361",
            "fax_number": "508-583-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF AVON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "SPURR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-583-5361",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1704745",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "800776",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700194",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "075659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVON FIRE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Avon, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.