Town of Princeton
Organization Active NPI Land Ambulance · Princeton, MA
NPI 1053401679 · NPPES record last updated May 23, 2011
Key facts
- NPI
- 1053401679
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- TOWN OF PRINCETON
- Practice address
- 8 Town Hall Drive
Princeton, MA 01541 - Phone
- (978) 464-2707
- Fax
- (978) 464-2700
- NPI assigned
- Oct 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Raymond Laporte
- Title
- Chief
- Phone
- (978) 464-2707
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2315539 | Princeton Fire Department | Certificate of waiver | Dec 15, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110613000144 | MA | Part B Supplier - Ambulance Service Supplier | 8022295492 | Practice locations: Princeton, MA |
National Provider Directory
Locations
8 Town Hall Dr
Princeton, MA 01541
Phone (978) 464-2707
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
8 Town Hall Drive
Princeton, MA 01541
Mailing address
844 Woburn St
Wilmington, MA 01887-3413
Phone (978) 253-2642
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100859 | Other | MA | BCBS PROVIDER NUMBER |
| 1710427 | Medicaid | MA |
Other names
- Princeton Fire Department/EMS
Other providers in Princeton, MA
- Princeton Family Chiropractic
- Louise Russell
- Sarah E Shea
- Kimberley Shore
- Harry W Smith
- Kristy Gibson Vanderbeck
- Peter Owen Whitmer
- Nissa C Wrightson
- Melissa Eleanor Yazdanpanah
All providers in Princeton, MA · Land 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 May 23, 2011. 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.