Organization Active NPI

Town of Sherborn

  • Ambulance
  • Sherborn, MA
National Provider Identifier
1922088400
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3928 Issued in MA
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
077159OtherMABLUE CROSS BLUE SHIELD
1700014MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060214000183 MA Part B Supplier - Ambulance Service Supplier 2062427925 Practice locations: Sherborn, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Sherborn2 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.

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.

Verify at the official NPI Registry.