Active NPI
Town of Northbridge
- Land Ambulance
- Whitinsville, MA
National Provider Identifier
1720034812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF NORTHBRIDGE
- Practice address
- 193 Main St
Whitinsville, MA 01588-2214 - Phone
- (508) 234-8448
- Fax
- (508) 234-3682
- NPI assigned
- May 26, 2006
- 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
- Gary A. Nestor
- Title
- Fire Chief
- Phone
- (508) 234-8448
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
193 Main St
Whitinsville, MA 01588-2214
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701193 | Medicaid | MA | |
| 106059 | Other | MA | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081111000171 | MA | Part B Supplier - Ambulance Service Supplier | 2668531377 | Practice locations: Northbridge, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Northbridge Public Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Whitinsville, MA
- NPI 1134245590
Locations
193 Main St
Whitinsville, MA 01588
Phone (508) 234-8448
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1720034812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "508-476-9740",
"fax_number": "508-476-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 MAIN ST",
"city": "WHITINSVILLE",
"state": "MA",
"postal_code": "015882214",
"telephone_number": "508-234-8448",
"fax_number": "508-234-3682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF NORTHBRIDGE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-26",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "NESTOR",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-234-8448"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701193",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "106059",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Whitinsville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.