Organization Active NPI

Town of Carlisle

  • Land Ambulance
  • Carlisle, MA
National Provider Identifier
1841247947
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF CARLISLE
Practice address
80 Westford St
Carlisle, MA 01741-1506
Phone
(978) 369-2888
Fax
(978) 287-4934
NPI assigned
May 27, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Bryan Sorrows
Title
Fire Chief
Phone
(978) 369-2888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

80 Westford St
Carlisle, MA 01741-1506

Mailing address

PO Box 4110
Dept 1040
Woburn, MA 01888-4110
Phone (978) 369-2888

Other identifiers 2

IdentifierTypeStateIssuer
1715844MedicaidMA
033759OtherMABCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000179 MA Part B Supplier - Ambulance Service Supplier 3375605843 Practice locations: Carlisle, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Carlisle3 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.

Locations

80 Westford St
Carlisle, MA 01741
Phone (978) 369-2888

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1841247947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110",
            "address_2": "DEPT 1040",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "978-369-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 WESTFORD ST",
            "city": "CARLISLE",
            "state": "MA",
            "postal_code": "017411506",
            "telephone_number": "978-369-2888",
            "fax_number": "978-287-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CARLISLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "SORROWS",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-369-2888"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715844",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "033759",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.