Active NPI
Town of Sherborn
- Ambulance
- Sherborn, MA
National Provider Identifier
1922088400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3928
- Legal business name
- TOWN OF SHERBORN
- Practice address
- 22 N Main St
Sherborn, MA 01770-1516 - Phone
- (508) 653-3270
- Fax
- (508) 653-0131
- NPI assigned
- Jan 19, 2006
- Last updated
- May 6, 2016
- 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
- Neil W McPherson, EMT-B
- Title
- Acting Chief
- Phone
- (508) 653-3270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3928 | MA | Primary |
Addresses
Primary practice location
22 N Main St
Sherborn, MA 01770-1516
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 077159 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1700014 | 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 |
|---|---|---|---|---|
| O20060214000183 | MA | Part B Supplier - Ambulance Service Supplier | 2062427925 | Practice locations: Sherborn, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Sherborn
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Dover, MA
- NPI 1477689297
Locations
19 Washington St
Sherborn, MA 01770
Phone (508) 651-7852
22 N Main St
Sherborn, MA 01770
Phone (508) 651-7851
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1462492800000",
"number": "1922088400",
"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": "22 N MAIN ST",
"city": "SHERBORN",
"state": "MA",
"postal_code": "017701516",
"telephone_number": "508-653-3270",
"fax_number": "508-653-0131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF SHERBORN",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-19",
"last_updated": "2016-05-06",
"status": "A",
"authorized_official_last_name": "MCPHERSON",
"authorized_official_first_name": "NEIL",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "ACTING CHIEF",
"authorized_official_telephone_number": "508-653-3270",
"authorized_official_credential": "EMT-B"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "077159",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700014",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherborn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.