Organization Active NPI

Town of Wilbraham

  • Land Ambulance
  • Wilbraham, MA
National Provider Identifier
1194724435
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Feb 26, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
012459OtherMABLUE CROSS BLUE SHIELD
000000022474OtherMABMC HEALTH NET
1714945MedicaidMA

Other names 1

  • Wilbraham Fire Department Emergency Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000067 MA Part B Supplier - Ambulance Service Supplier 0941462386 Practice locations: Wilbraham, 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
22D2294511Wilbraham Fire Department2770 Boston Rd, Wilbraham, MA 01095Certificate of waiverNov 27, 2027

National Provider Directory

National Provider Directory
Tax ID family
Wilbraham Fire Dept Eme2 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

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.

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.

Verify at the official NPI Registry.