Town of Westport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3178 Issued in MA

Legal business name

TOWN OF WESTPORT

Practice address

85 Briggs Rd
Westport, MA 02790-4020

Phone

(508) 672-0721

Fax

(508) 672-0287

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Brian R. Legendre

Title

Fire Chief

Phone

(508) 636-1110

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Westport Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Town of Westport

  • Public Health or Welfare Agency
  • Westport, MA
  • NPI 1457570525

  6406823152

  Same PAC ID

Tax ID family

Westport Community Schools3 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.

• Town of Westport

  • Public Health or Welfare Agency
  • Westport, MA
  • NPI 1457570525
  NPD tax ID
• Westport Community Schools

  • Local Education Agency (LEA)
  • Westport, MA
  • NPI 1538281498
  NPD tax ID

Locations

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720131642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3470",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027900703",
            "telephone_number": "508-672-0721",
            "fax_number": "508-672-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BRIGGS RD",
            "city": "WESTPORT",
            "state": "MA",
            "postal_code": "027904020",
            "telephone_number": "508-672-0721",
            "fax_number": "508-672-0287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WESTPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEGENDRE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-636-1110"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1709453",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "802185",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUSTRICARE",
            "identifier": "S014372",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000024886",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0021568",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF RI",
            "identifier": "23853-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MA",
            "identifier": "037959",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "81-00042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTHCAR",
            "identifier": "700107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Westport Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Conor Chiropractic Sowersby, DC
• Pebbles Lee Stevens, NP
• Shaundry Swainamer
• Vanessa Lynne Thompson
• Town of Westport
• Courtney L Turner, NP
• Turtlestone Counseling, LLC
• Eric Vohnoutka, D.C.
• Douglas Gene Vrona, D.M.D.
• Westport Apothecary Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.