Active NPI
Town of Whately
- Land Ambulance
- Whately, MA
National Provider Identifier
1164574661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3382
- Legal business name
- TOWN OF WHATELY
- Practice address
- 63 Christian Lane
Whately, MA 01093 - Phone
- (413) 665-4400
- Fax
- (413) 665-2230
- NPI assigned
- Jan 17, 2007
- Last updated
- Jun 21, 2018
- 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
- Mr. Jonathan S. Edwards
- Title
- Chair, Board of Selectmen
- Phone
- (413) 665-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3382 | MA | Primary |
Addresses
Primary practice location
63 Christian Lane
Whately, MA 01093
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715003 | Medicaid | MA |
Other names 1
- Whately Ambulance Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529539200000",
"number": "1164574661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "508-476-9740",
"fax_number": "508-476-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 CHRISTIAN LANE",
"city": "WHATELY",
"state": "MA",
"postal_code": "01093",
"telephone_number": "413-665-4400",
"fax_number": "413-665-2230"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WHATELY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2018-06-21",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "CHAIR, BOARD OF SELECTMEN",
"authorized_official_telephone_number": "413-665-4400",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1715003",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Whately Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Whately, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.