Active NPI
Town of Deerfield
- Ambulance
- S Deerfield, MA
National Provider Identifier
1073502852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3375
- Legal business name
- TOWN OF DEERFIELD
- Practice address
- 8 Conway St
S Deerfield, MA 01373-1021 - Phone
- (431) 665-8814
- NPI assigned
- Oct 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Zamojski
- Title
- Ambulance Department Manager
- Phone
- (431) 665-8814
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3375 | MA | Primary |
Addresses
Primary practice location
8 Conway St
S Deerfield, MA 01373-1021
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806288 | Other | TUFTS HEALTH PLAN | |
| 1715992 | Medicaid | MA | |
| 704113 | Other | HARVARD PILGRIM | |
| 000000026643 | Other | BMC HEALTHNET PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040812000438 | MA | Part B Supplier - Ambulance Service Supplier | 5991777690 | Practice locations: South Deerfield, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Deerfield
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- South Deerfield, MA
- NPI 1053436840
-
- Public Health or Welfare Agency
- South Deerfield, MA
- NPI 1497443147
Locations
84 Greenfield Rd
South Deerfield, MA 01373
Phone (413) 665-8814
88 Greenfield Rd
South Deerfield, MA 01373
Phone (413) 665-8814
105 River Rd
Sunderland, MA 01375
Phone (413) 665-2465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1073502852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 CONWAY ST",
"city": "S DEERFIELD",
"state": "MA",
"postal_code": "013731021",
"telephone_number": "431-665-8814"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF DEERFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ZAMOJSKI",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "AMBULANCE DEPARTMENT MANAGER",
"authorized_official_telephone_number": "431-665-8814"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3375",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "806288",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715992",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "704113",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET PLAN",
"identifier": "000000026643",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in S Deerfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.