Active NPI
Town of Bedford
- Land Ambulance
- Bedford, MA
National Provider Identifier
1891740684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF BEDFORD
- Practice address
- 55 The Great Rd
Bedford, MA 01730-2152 - Phone
- (781) 275-7262
- Fax
- (781) 275-3834
- NPI assigned
- May 23, 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 Grunes
- Title
- Fire Chief
- Phone
- (781) 275-7262
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
55 The Great Rd
Bedford, MA 01730-2152
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019459 | Other | MA | BCBS PROVIDER NUMBER |
| 1700928 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060417000018 | MA | Part B Supplier - Ambulance Service Supplier | 7517976749 | Practice locations: Bedford, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Town of Bedford
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Bedford, MA
- NPI 1407978018
-
- Local Education Agency (LEA)
- Bedford, MA
- NPI 1891814430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1253577600000",
"number": "1891740684",
"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": "55 THE GREAT RD",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017302152",
"telephone_number": "781-275-7262",
"fax_number": "781-275-3834"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF BEDFORD",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-23",
"last_updated": "2009-09-22",
"status": "A",
"authorized_official_last_name": "GRUNES",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "781-275-7262"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "019459",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700928",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bedford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.