Organization Active NPI

Town of Athol

  • Land Ambulance
  • Athol, MA
National Provider Identifier
1023062049
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF ATHOL
Doing business as
Athol Fire Department
Practice address
2251 Main St
Athol, MA 01331-3526
Phone
(978) 249-8275
Fax
(978) 575-0138
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Jeffrey Parker
Title
Fire Chief
Phone
(978) 249-8275

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

2251 Main St
Athol, MA 01331-3526

Mailing address

2251 Main St
Athol, MA 01331-3526
Phone (978) 249-8275

Other identifiers 3

IdentifierTypeStateIssuer
1715674MedicaidMA
011059OtherMABCBS PROVIDER NUMBER
590012170OtherMARAILROAD MEDICARE

Other names 1

  • Athol Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000049 MA Part B Supplier - Ambulance Service Supplier 2062422371 Practice locations: Athol, 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
22D1041267Town of Athol Fire Dept Ambulance2251 Main Street, Athol, MA 01331Certificate of waiverMay 26, 2027

National Provider Directory

National Provider Directory

Locations

2251 Main St
Athol, MA 01331
Phone (978) 249-8275

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1023062049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313526",
            "telephone_number": "978-249-8275",
            "fax_number": "978-249-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 MAIN ST",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013313526",
            "telephone_number": "978-249-8275",
            "fax_number": "978-575-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ATHOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-249-8275"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715674",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "011059",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012170",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Athol Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athol, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.