Town of Dudley

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3596 Issued in MA

Legal business name

TOWN OF DUDLEY

Doing business as

Dudley Fire and Emergency Services

Practice address

128 W Main St
Dudley, MA 01571-3361

Phone

(508) 949-8040

Fax

(508) 943-4424

NPI assigned

Jan 19, 2006

Last updated

Dec 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dean C. Kochanowski

Title

Fire Chief

Phone

(508) 949-8040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dudley Fire and Emergency Services Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

CLIA laboratory certificates

Tax ID family

Town of Dudley Amb Serv2 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.

• Town of Dudley Health Department

  • Public Health or Welfare Agency
  • Dudley, MA
  • NPI 1124251327
  NPD tax ID

Locations

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1780664359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 NORFOLK AVE",
            "city": "SOUTH EASTON",
            "state": "MA",
            "postal_code": "023751911",
            "telephone_number": "508-297-2068",
            "fax_number": "508-297-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W MAIN ST",
            "city": "DUDLEY",
            "state": "MA",
            "postal_code": "015713361",
            "telephone_number": "508-949-8040",
            "fax_number": "508-943-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DUDLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-19",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "KOCHANOWSKI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-949-8040"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700359",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "034659",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dudley Fire and Emergency Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherrie Urena
• Vicki Lynn Soponski
• Colleen Marie Sullivan
• Deborah K Swan, RNCS, APRN
• Town Dental Partners,LLC (Dudley Family Dental)
• Town of Dudley Health Department
• Tri-Valley, Inc.
• Tri-Valley, Inc.
• Tri-Valley, Inc.
• Walgreen Co (Walgreens #19240)

• Ambulance in Dudley, MA
• Providers in Dudley, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.