Town of Mendon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF MENDON

Practice address

8 Morrison Dr
Mendon, MA 01756-1346

Phone

(508) 473-5330

Fax

(508) 473-4938

NPI assigned

May 31, 2006

Last updated

Jan 9, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark Patrick Bucchino

Title

EMS Director

Phone

(508) 473-5330

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231459200000",
    "number": "1871530030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST STE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MORRISON DR",
            "city": "MENDON",
            "state": "MA",
            "postal_code": "017561346",
            "telephone_number": "508-473-5330",
            "fax_number": "508-473-4938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MENDON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-01-09",
        "status": "A",
        "authorized_official_last_name": "BUCCHINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "508-473-5330"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720325",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "Q00352",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Ann Abdelahad (Hand Rehab Services of Mendon)
• Sherri Ellen Snyder, MA
• Sterling Counseling Services, LLC
• Allison Kelleher Sullivan
• Joanne Taub, LICSW
• Lisa R Trainor, R.D.O.
• Maria F Tula, RN
• Lisa M Van Luling, PSY.D.
• William Michael Vitale, NP
• Greta Von Der Luft, PHYSICAL THERAPIST

• Land Ambulance in Mendon, MA
• Providers in Mendon, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2009; 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.