Active NPI
City of Woburn
- Ambulance
- Woburn, MA
National Provider Identifier
1801858691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3595
- Legal business name
- CITY OF WOBURN
- Practice address
- 124 Main St
Woburn, MA 01801-5640 - Phone
- (781) 932-4581
- NPI assigned
- Apr 5, 2006
- Last updated
- Aug 22, 2020
- 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
- Paul Tortalano
- Title
- Chief
- Phone
- (781) 932-4581
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3595 | MA | Primary |
Addresses
Primary practice location
124 Main St
Woburn, MA 01801-5640
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 802920 | Other | TUFTS HEALTH PLAN | |
| 010559 | Other | MA | BLUE CROSS BLUE SHIELD |
| 700503 | Other | HARVARD PILGRIM | |
| 000000025587 | Other | BMC HEALTHNET PLAN | |
| 1709186 | Medicaid | MA | |
| 973180 | Other | NETWORK HEALTH | |
| 0011700 | Other | NEIGHBORHOOD HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100128000419 | MA | Part B Supplier - Ambulance Service Supplier | 2264459304 | Practice locations: Woburn, MA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Woburn
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Woburn, MA
- NPI 1669599676
-
- Local Education Agency (LEA)
- Woburn, MA
- NPI 1669707808
Locations
124 Main St
Woburn, MA 01801
Phone (781) 897-1380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1801858691",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 MAIN ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018015640",
"telephone_number": "781-932-4581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF WOBURN",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TORTALANO",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "781-932-4581"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3595",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "802920",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "010559",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700503",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000025587",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1709186",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "973180",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0011700",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woburn, MA
Sources for this page
- 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.