Organization Active NPI

Town of Granville

  • Ambulance
  • Granville, MA
National Provider Identifier
1902897739
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3327 Issued in MA
Legal business name
TOWN OF GRANVILLE
Practice address
709 Main Rd
Granville, MA 01034-9797
Phone
(413) 357-8585
NPI assigned
Nov 1, 2005
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Jim Meadows
Title
Administration
Phone
(413) 357-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3327 MA Primary

Addresses

Primary practice location

709 Main Rd
Granville, MA 01034-9797

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
804165OtherTUFTS HEALTH PLAN
1713558MedicaidMA
590012533OtherRR MEDICARE
000000025078OtherBMC HEALTHNET PLAN
703521OtherHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050328000266 MA Part B Supplier - Ambulance Service Supplier 1153377759 Practice locations: Granville, MA

National Provider Directory

National Provider Directory
Tax ID family
Granville Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1902897739",
    "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": "709 MAIN RD",
            "city": "GRANVILLE",
            "state": "MA",
            "postal_code": "010349797",
            "telephone_number": "413-357-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GRANVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "413-357-8585"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "804165",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713558",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590012533",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000025078",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703521",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.