Active NPI
Town of Holbrook
Doing business as Holbrook Fire Department
- Land Ambulance
- Holbrook, MA
National Provider Identifier
1942364021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF HOLBROOK
- Practice address
- 300 South Franklin Street
Holbrook, MA 02343 - Phone
- (781) 767-2234
- Fax
- (781) 767-1738
- NPI assigned
- Dec 21, 2006
- Last updated
- May 26, 2020
- 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
- Mr. Luke McFadden
- Title
- Fire Chief
- Phone
- (781) 767-6402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
300 South Franklin Street
Holbrook, MA 02343
Mailing address
19 Norfolk Ave Ste B
South Easton, MA 02375-1911
Phone (888) 771-6115
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700145 | Other | MA | HARVARD PILGRIM |
| 80117 | Other | MA | TUFTS |
| 036259 | Other | MA | BLUE CROSS |
| 1708236 | Medicaid | MA | |
| 590006196 | Other | MA | RAILROAD MEDICARE |
Other names 1
- Holbrook Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051214000271 | MA | Part B Supplier - Ambulance Service Supplier | 2567483803 | Practice locations: Holbrook, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2301971 | Town of Holbrook Fire Department | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Holbrook Board of Health
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Holbrook, MA
- NPI 1801075080
-
- Local Education Agency (LEA)
- Holbrook, MA
- NPI 1831215334
Locations
300 S Franklin St
Holbrook, MA 02343
Phone (781) 767-2233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590451200000",
"number": "1942364021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORFOLK AVE STE B",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751911",
"telephone_number": "888-771-6115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 SOUTH FRANKLIN STREET",
"city": "HOLBROOK",
"state": "MA",
"postal_code": "02343",
"telephone_number": "781-767-2234",
"fax_number": "781-767-1738"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF HOLBROOK",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-05-26",
"certification_date": "2020-05-26",
"status": "A",
"authorized_official_last_name": "MCFADDEN",
"authorized_official_first_name": "LUKE",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "781-767-6402",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700145",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "80117",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "036259",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708236",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006196",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Holbrook Fire Department",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Holbrook Fire Department",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Holbrook Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Holbrook, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.