NPIMap

Organization Active NPI

Town of Charlton

  • Ambulance
  • Charlton, MA
National Provider Identifier
1851388136
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3272 Issued in MA
Legal business name
TOWN OF CHARLTON
Practice address
10 Power Station Rd
Charlton, MA 01507-1920
Phone
(508) 248-2276
NPI assigned
Oct 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Terri Gough
Title
EMS Coordinator
Phone
(508) 248-2276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3272 MA Primary

Addresses

Primary practice location

10 Power Station Rd
Charlton, MA 01507-1920

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 9

IdentifierTypeStateIssuer
1705652MedicaidMA
006659OtherMABLUE CROSS BLUE SHEILD
7040OtherMAFALLON COMMUNITY
0019165OtherMANEIGHBORHOOD HEALTH
006659OtherMAMASS MEDEX
803954OtherTUFTS HEALTH PLAN
606530500OtherDEPARTMENT OF LABOR
590088111OtherRR MEDICARE
700339OtherHARVARD PILGRIM

Other names 1

  • Charlton 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
O20110616000563 MA Part B Supplier - Ambulance Service Supplier 7113105313 Practice locations: Charlton City, MA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1851388136",
    "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": "10 POWER STATION RD",
            "city": "CHARLTON",
            "state": "MA",
            "postal_code": "015071920",
            "telephone_number": "508-248-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHARLTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-03",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "GOUGH",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "508-248-2276"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705652",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "006659",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITY",
            "identifier": "7040",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0019165",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS MEDEX",
            "identifier": "006659",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "803954",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "606530500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590088111",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700339",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlton Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.