Organization Active NPI

Town of Harwich

  • Land Ambulance
  • Harwich, MA
National Provider Identifier
1790722650
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF HARWICH
Practice address
175 Sisson Rd
Harwich, MA 02645-2616
Phone
(508) 430-7546
Fax
(508) 432-5685
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Authorized official

Name
David Leblanc
Title
Fire Chief
Phone
(508) 430-7546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

175 Sisson Rd
Harwich, MA 02645-2616

Mailing address

175 Sisson Rd
Harwich, MA 02645-2616
Phone (508) 430-7546

Other names 1

  • Harwich Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071029000555 MA Part B Supplier - Ambulance Service Supplier 8820185499 Practice locations: Harwich, 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
22D2312471Town of Harwich Fire Department175 Sisson Rd, Harwich, MA 02645Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory
Tax ID family
Harwich Fire Department2 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.

Locations

175 Sisson Rd
Harwich, MA 02645
Phone (508) 430-7546

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671753600000",
    "number": "1790722650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 SISSON RD",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452616",
            "telephone_number": "508-430-7546",
            "fax_number": "508-432-5685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 SISSON RD",
            "city": "HARWICH",
            "state": "MA",
            "postal_code": "026452616",
            "telephone_number": "508-430-7546",
            "fax_number": "508-432-5685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HARWICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-23",
        "status": "A",
        "authorized_official_last_name": "LEBLANC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-430-7546"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harwich Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harwich, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; 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.