NPIMap

Organization Active NPI

Town of West Springfield

  • Land Ambulance
  • West Springfield, MA
National Provider Identifier
1063563302
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3343 Issued in MA
Legal business name
TOWN OF WEST SPRINGFIELD
Practice address
44 Van Deene Ave
West Springfield, MA 01089-3214
Phone
(413) 263-3385
Fax
(413) 736-0087
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Mr. William Michael Flaherty, EMT
Title
Deputy Chief, Ambulance Adm
Phone
(413) 263-3385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3343 MA Primary

Addresses

Primary practice location

44 Van Deene Ave
West Springfield, MA 01089-3214

Mailing address

9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740

Other identifiers 2

IdentifierTypeStateIssuer
803886OtherMATUFTS HEALTH PLAN PROV #
1711393MedicaidMA

Other names 1

  • West Springfield Fire Dept Ambulance Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091009000194 MA Part B Supplier - Ambulance Service Supplier 9032129333 Practice locations: West Springfield, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of West Springfield3 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

44 Van Deene Ave
West Springfield, MA 01089
Phone (413) 263-3385

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1063563302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VAN DEENE AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893214",
            "telephone_number": "413-263-3385",
            "fax_number": "413-736-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WEST SPRINGFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "FLAHERTY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DEPUTY CHIEF, AMBULANCE ADM",
        "authorized_official_telephone_number": "413-263-3385",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN PROV #",
            "identifier": "803886",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1711393",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Springfield Fire Dept Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.