Active NPI
Fitchburg Emergency Medical Services Inc
- Land Ambulance
- Leominster, MA
National Provider Identifier
1093906083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3998
- Legal business name
- FITCHBURG EMERGENCY MEDICAL SERVICES INC
- Practice address
- 1000 Battles St
Leominster, MA 01453-1502 - Phone
- (978) 466-8883
- NPI assigned
- Aug 6, 2007
- Last updated
- Dec 24, 2019
- 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
- Gregory Melehov
- Title
- President
- Phone
- (978) 466-8883
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3998 | MA | Primary |
Addresses
Primary practice location
1000 Battles St
Leominster, MA 01453-1502
Mailing address
PO Box 981309
Boston, MA 02298-1309
Phone (508) 799-5999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1719351 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080702000017 | MA | Part B Supplier - Ambulance Service Supplier | 6709958002 | Practice locations: Fitchburg, MA; Leominster, MA |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
231 Fairmount St
Fitchburg, MA 01420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1577145600000",
"number": "1093906083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 981309",
"city": "BOSTON",
"state": "MA",
"postal_code": "022981309",
"telephone_number": "508-799-5999",
"fax_number": "508-635-9520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BATTLES ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531502",
"telephone_number": "978-466-8883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FITCHBURG EMERGENCY MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-06",
"last_updated": "2019-12-24",
"certification_date": "2019-12-24",
"status": "A",
"authorized_official_last_name": "MELEHOV",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "978-466-8883"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3998",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1719351",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2019; 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.