NPIMap

Organization Active NPI

Medstar EMS, Inc.

  • Land Ambulance
  • Leominster, MA
National Provider Identifier
1013246354
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
AM3227 Issued in MA
Legal business name
MEDSTAR EMS, INC.
Practice address
1000 Battles St
Leominster, MA 01453-1502
Phone
(508) 799-5999
NPI assigned
Dec 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Gregory Melehov
Title
President
Phone
(508) 799-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X AM3227 MA Primary

Addresses

Primary practice location

1000 Battles St
Leominster, MA 01453-1502

Mailing address

1000 Battles St
Leominster, MA 01453-1502
Phone (508) 799-5999

Other identifiers 1

IdentifierTypeStateIssuer
110085792AMedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100122000489 MA Part B Supplier - Ambulance Service Supplier 7911049382 Practice locations: Leominster, MA; Grafton, MA; Sutton, MA; Millbury, MA

National Provider Directory

National Provider Directory

Locations

26 Upton St
Grafton, MA 01519

126 Elm St
Millbury, MA 01527

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1013246354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BATTLES ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531502",
            "telephone_number": "508-799-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BATTLES ST",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014531502",
            "telephone_number": "508-799-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR EMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "MELEHOV",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-799-5999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "AM3227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110085792A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leominster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.