Organization Active NPI

Cotuit Fire District

  • Land Ambulance
  • Cotuit, MA
National Provider Identifier
1891783874
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COTUIT FIRE DISTRICT
Practice address
64 High St
Cotuit, MA 02635-3015
Phone
(508) 428-2210
NPI assigned
Oct 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Sean Brown
Title
Chief
Phone
(508) 428-2210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3087 MA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

64 High St
Cotuit, MA 02635-3015

Mailing address

PO Box 4110, Dept 5840
Woburn, MA 01888-4110
Phone (508) 428-2210

Other identifiers 5

IdentifierTypeStateIssuer
1710834MedicaidMA
590008069OtherRR MEDICARE
700763OtherCTHARVARD PILGRIM
041159OtherMABLUE CROSS BLUE SHEILD
729329OtherTUFTS HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120306000954 MA Part B Supplier - Ambulance Service Supplier 3577722818 Practice locations: Cotuit, 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": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1891783874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110, DEPT 5840",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "508-428-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 HIGH ST",
            "city": "COTUIT",
            "state": "MA",
            "postal_code": "026353015",
            "telephone_number": "508-428-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTUIT FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "508-428-2210"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3087",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710834",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008069",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700763",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "041159",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "729329",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cotuit, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.