Active NPI
Town of Wilbraham
- Land Ambulance
- Wilbraham, MA
National Provider Identifier
1194724435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF WILBRAHAM
- Practice address
- 2770 Boston Rd
Wilbraham, MA 01095-1835 - Phone
- (413) 596-3122
- Fax
- (413) 596-2632
- NPI assigned
- Jul 19, 2005
- 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
- Michael Andrews
- Title
- Fire Chief
- Phone
- (413) 596-3122
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3964 | MA | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
2770 Boston Rd
Wilbraham, MA 01095-1835
Mailing address
2770 Boston Rd
Wilbraham, MA 01095-1835
Phone (413) 596-3122
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012459 | Other | MA | BLUE CROSS BLUE SHIELD |
| 000000022474 | Other | MA | BMC HEALTH NET |
| 1714945 | Medicaid | MA |
Other names 1
- Wilbraham Fire Department Emergency Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120502000067 | MA | Part B Supplier - Ambulance Service Supplier | 0941462386 | Practice locations: Wilbraham, MA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2294511 | Wilbraham Fire Department | Certificate of waiver | Nov 27, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Wilbraham Fire Dept Eme
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Wilbraham, MA
- NPI 1134706567
Locations
2770 Boston Rd
Wilbraham, MA 01095
Phone (413) 596-2273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community Health Registered Nurse
- Wilbraham, MA
- NPI 1326080615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772064000000",
"number": "1194724435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2770 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951835",
"telephone_number": "413-596-3122",
"fax_number": "413-596-2632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2770 BOSTON RD",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010951835",
"telephone_number": "413-596-3122",
"fax_number": "413-596-2632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WILBRAHAM",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-19",
"last_updated": "2026-02-26",
"certification_date": "2026-02-26",
"status": "A",
"authorized_official_last_name": "ANDREWS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "413-596-3122"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3964",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "012459",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTH NET",
"identifier": "000000022474",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1714945",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Wilbraham Fire Department Emergency Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilbraham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.