NPIMap

Organization Active NPI

Town of Chilmark

Doing business as Tri Town Ambulance

  • Ambulance
  • Chilmark, MA
National Provider Identifier
1891896650
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3651 Issued in MA
Legal business name
TOWN OF CHILMARK
Doing business as
Tri Town Ambulance
Practice address
1 Menemsha Cross Rd
Chilmark, MA 02535
Phone
(508) 645-2101
NPI assigned
Sep 26, 2006
Last updated
May 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Authorized official

Name
Tim Carroll
Title
Administration
Phone
(508) 645-2101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3651 MA Primary

Addresses

Primary practice location

1 Menemsha Cross Rd
Chilmark, MA 02535

Mailing address

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

Other names 1

  • Tri Town Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061120000150 MA Part B Supplier - Ambulance Service Supplier 5890793293 Practice locations: West Tisbury, MA; Chilmark, MA; Aquinnah, 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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1891896650",
    "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": "1 MENEMSHA CROSS RD",
            "city": "CHILMARK",
            "state": "MA",
            "postal_code": "02535",
            "telephone_number": "508-645-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHILMARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "508-645-2101"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Town Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chilmark, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.