Organization Active NPI

Fitchburg Emergency Medical Services Inc

  • Land Ambulance
  • Leominster, MA
National Provider Identifier
1093906083
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3998 Issued in MA
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1719351MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080702000017 MA Part B Supplier - Ambulance Service Supplier 6709958002 Practice locations: Fitchburg, MA; Leominster, MA

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.