Organization Active NPI

Town of Deerfield

  • Ambulance
  • S Deerfield, MA
National Provider Identifier
1073502852
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3375 Issued in MA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
806288OtherTUFTS HEALTH PLAN
1715992MedicaidMA
704113OtherHARVARD PILGRIM
000000026643OtherBMC HEALTHNET PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Deerfield3 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

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.

Verify at the official NPI Registry.