NPIMap

Organization Active NPI

Town of Amherst

  • Land Ambulance
  • Amherst, MA
National Provider Identifier
1104917525
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3376 Issued in MA
Legal business name
TOWN OF AMHERST
Practice address
68 N Pleasant St
Amherst, MA 01002-1703
Phone
(413) 259-3082
Fax
(413) 259-2401
NPI assigned
Sep 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Mr. Paul Bockelman
Title
Town Manager
Phone
(413) 259-3002

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 3376 MA Primary

Addresses

Primary practice location

68 N Pleasant St
Amherst, MA 01002-1703

Mailing address

4 Boltwood Ave
Amherst, MA 01002-2301
Phone (413) 259-3020

Other names 1

  • Town of Amherst Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100706000286 MA Part B Supplier - Ambulance Service Supplier 7618866880 Practice locations: Amherst, MA

National Provider Directory

National Provider Directory
Tax ID family
Amherst Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

68 N Pleasant St
Amherst, MA 01002
Phone (413) 256-4082

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1104917525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BOLTWOOD AVE",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010022301",
            "telephone_number": "413-259-3020",
            "fax_number": "413-259-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 N PLEASANT ST",
            "city": "AMHERST",
            "state": "MA",
            "postal_code": "010021703",
            "telephone_number": "413-259-3082",
            "fax_number": "413-259-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF AMHERST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "BOCKELMAN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "413-259-3002",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Amherst Ambulance Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Town of Amherst Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amherst, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.