Town of Wenham – Ambulance in Wenham, MA

Key facts

NPI: 1922549609
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
License: 3991 (MA)
Legal business name: TOWN OF WENHAM
Practice address: 140 Main St
Wenham, MA 01984-1520
Phone: (978) 468-5508
Fax: (978) 468-5509
NPI assigned: Mar 15, 2017
Organization subpart: No

Authorized official

Name: Jeffrey Baxter
Title: Captain
Phone: (978) 468-5508

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Town of Wenham State or Local Public Health Clinic/Center · Wenham, MA · NPI 1376023812

NPD member Member Of

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
22D2339085	Wenham Fire Department 140 Main Street, Wenham, MA 01984	Certificate of waiver	Feb 22, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20180202000880	MA	Part B Supplier - Ambulance Service Supplier	3072873454	Practice locations: Wenham, MA

National Provider Directory

Locations

140 Main St
Wenham, MA 01984
Phone (978) 468-5508

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X	3991	MA	Yes

Addresses

Primary practice location

140 Main St
Wenham, MA 01984-1520

Mailing address

140 Main St
Wenham, MA 01984-1520
Phone (978) 468-5508

Other names

Wenham Fire Department Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 15, 2017.

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1922549609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "019841520",
            "telephone_number": "978-468-5508",
            "fax_number": "978-468-5509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAIN ST",
            "city": "WENHAM",
            "state": "MA",
            "postal_code": "019841520",
            "telephone_number": "978-468-5508",
            "fax_number": "978-468-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WENHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "978-468-5508"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wenham Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wenham, MA

Emily Schilling
Wendi M Smith, LICSW
Solutions Lane Therapeutic and Behavioral Services
Alison Stallings
Town of Wenham
Deana Trefry, MSW, LICSW
Victoria Twombly
Laura Winters Unsworth, LMFT
Joseph Kenneth Varela, B.A.
Victoria Leigh Varney, NCLMT

All providers in Wenham, MA · Ambulance in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.