Organization Active NPI

City of Amesbury

Doing business as Amesbury Fire Department

  • Land Ambulance
  • Amesbury, MA
National Provider Identifier
1174524276
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3052 Issued in MA
Legal business name
CITY OF AMESBURY
Doing business as
Amesbury Fire Department
Practice address
17 School St
Amesbury, MA 01913-2812
Phone
(978) 388-8185
NPI assigned
Aug 10, 2005
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Mr. Kenneth E Berkenbush
Title
Fire Chief
Phone
(978) 388-8185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3052 MA Primary

Addresses

Primary practice location

17 School St
Amesbury, MA 01913-2812

Mailing address

PO Box 986500, Dept 2050
Boston, MA 02298-6500
Phone (617) 492-8484

Other identifiers 7

IdentifierTypeStateIssuer
014859OtherMAMASS MEDEX
014859OtherMABC/BS
590008830OtherMARR MEDICARE
701404OtherMAHARBARD PILGRIM
0009094OtherMANEIGHBORHOOD HEALTH
1705334MedicaidMA
800594OtherMATUFTS HEALTH PLAN

Other names 1

  • Amesbury Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100824000740 MA Part B Supplier - Ambulance Service Supplier 4587567037 Practice locations: Amesbury, MA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2323351Amesbury Fire Department17 School Street, Amesbury, MA 01913Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
Amesbury Health Dept2 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

17 School St
Amesbury, MA 01913
Phone (508) 388-1333

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1174524276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 986500, DEPT 2050",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022986500",
            "telephone_number": "617-492-8484",
            "fax_number": "617-492-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 SCHOOL ST",
            "city": "AMESBURY",
            "state": "MA",
            "postal_code": "019132812",
            "telephone_number": "978-388-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF AMESBURY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "BERKENBUSH",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "978-388-8185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS MEDEX",
            "identifier": "014859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "014859",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590008830",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARBARD PILGRIM",
            "identifier": "701404",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH",
            "identifier": "0009094",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1705334",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "800594",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amesbury Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amesbury Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amesbury, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.