Active NPI
Town of Wareham
- Land Ambulance
- Wareham, MA
National Provider Identifier
1891732210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF WAREHAM
- Practice address
- 72 Sandwich Rd
Wareham, MA 02571-1629 - Phone
- (508) 295-6725
- Fax
- (508) 291-2867
- NPI assigned
- Jun 2, 2006
- 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
- David Evans
- Title
- EMS Director
- Phone
- (508) 295-6725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
72 Sandwich Rd
Wareham, MA 02571-1629
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1707612 | Medicaid | MA | |
| 034559 | Other | MA | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081201000297 | MA | Part B Supplier - Ambulance Service Supplier | 9234228859 | Practice locations: Wareham, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Wareham
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Wareham, MA
- NPI 1235269523
Locations
54 Marion Rd
Wareham, MA 02571
Phone (508) 291-3100
72 Sandwich Rd
Wareham, MA 02571
Phone (508) 295-6725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1891732210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 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": "72 SANDWICH RD",
"city": "WAREHAM",
"state": "MA",
"postal_code": "025711629",
"telephone_number": "508-295-6725",
"fax_number": "508-291-2867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WAREHAM",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "508-295-6725"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1707612",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "034559",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wareham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.