Town of Barre
Organization Active NPI Ambulance · Barre, MA
NPI 1821035619 · NPPES record last updated Mar 6, 2013
Key facts
- NPI
- 1821035619
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- TOWN OF BARRE
- Practice address
- 10 Broad St
Barre, MA 01005-9257 - Phone
- (508) 688-7730
- Fax
- (978) 355-6152
- NPI assigned
- Jun 1, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Charles F Fullam
- Title
- EMS Administrator
- Phone
- (508) 688-7730
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051115000369 | MA | Part B Supplier - Ambulance Service Supplier | 9537188909 | Practice locations: Barre, MA |
National Provider Directory
Locations
40 West St
Barre, MA 01005
Phone (978) 355-2504
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X | 3262 | MA |
Addresses
Primary practice location
10 Broad St
Barre, MA 01005-9257
Mailing address
40 West Street
Barre, MA 01005-9290
Phone (978) 355-2504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042559 | Other | MA | BLUE CROSS & BLUE SHIELD |
| 701294 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 802659 | Other | MA | TUFTS |
| 1712381 | Medicaid | MA |
Other names
- Town of Barre
Other providers in Barre, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.