Palmer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3923 Issued in MA

Legal business name

PALMER AMBULANCE SERVICE INC

Practice address

Shearer Street Ext
Palmer, MA 01069-1400

Phone

(413) 283-2983

Fax

(413) 283-2934

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Mary T Gentile

Title

Authorized Agent

Phone

(860) 257-9201

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237334400000",
    "number": "1235129792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SHEARER STREET EXT",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691400",
            "telephone_number": "413-283-2983",
            "fax_number": "413-283-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2009-03-18",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710664",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014896",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Martin Opper, DC
• Jessica R Ouellette, PHARM.D.
• Laura Jane Outhuse, OTR/L
• Diane T Pacocha, PTA
• Jacqueline Pahl, L.I.C.S.W.
• Palmer Chiropractic PC
• Palmer Fire District No. 1 of Palmer
• Sophie Rose Parker-Goos, MSW
• Emanuel Omar Parrilla, PA-C
• Pathfinder Regional Vocational High School District

• Ambulance in Palmer, MA
• Providers in Palmer, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.