Organization Active NPI

Town of Holbrook

Doing business as Holbrook Fire Department

  • Land Ambulance
  • Holbrook, MA
National Provider Identifier
1942364021
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
700145OtherMAHARVARD PILGRIM
80117OtherMATUFTS
036259OtherMABLUE CROSS
1708236MedicaidMA
590006196OtherMARAILROAD MEDICARE

Other names 1

  • Holbrook Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000271 MA Part B Supplier - Ambulance Service Supplier 2567483803 Practice locations: Holbrook, MA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2301971Town of Holbrook Fire Department300 South Franklin St, Holbrook, MA 02343Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory
Tax ID family
Holbrook Board of Health3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.