Active NPI
City of Leominster
- Land Ambulance
- Leominster, MA
National Provider Identifier
1255348975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3288
- Legal business name
- CITY OF LEOMINSTER
- Practice address
- 19 Church St
Leominster, MA 01453-3110 - Phone
- (978) 534-7545
- Fax
- (978) 537-6567
- NPI assigned
- Aug 2, 2006
- 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. David R Laplante
- Title
- Treasurer, City of Leominster
- Phone
- (978) 534-7509
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3288 | MA | Primary |
Addresses
Primary practice location
19 Church St
Leominster, MA 01453-3110
Mailing address
19 Norfolk Ave Ste B
South Easton, MA 02375-1911
Phone (888) 771-6115
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700294 | Medicaid | MA | |
| 011459 | Other | MA | BLUE CROSS PROVIDER NUMBR |
| 0012583 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 590006997 | Other | MA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100517000088 | MA | Part B Supplier - Ambulance Service Supplier | 2466580261 | Practice locations: Leominster, MA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Leominster
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Leominster, MA
- NPI 1558570697
Locations
210 Lancaster St
Leominster, MA 01453
Phone (978) 534-7541
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592265600000",
"number": "1255348975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 NORFOLK AVE STE B",
"city": "SOUTH EASTON",
"state": "MA",
"postal_code": "023751911",
"telephone_number": "888-771-6115",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 CHURCH ST",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014533110",
"telephone_number": "978-534-7545",
"fax_number": "978-537-6567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LEOMINSTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-02",
"last_updated": "2020-06-16",
"certification_date": "2020-06-16",
"status": "A",
"authorized_official_last_name": "LAPLANTE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "TREASURER, CITY OF LEOMINSTER",
"authorized_official_telephone_number": "978-534-7509",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700294",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER NUMBR",
"identifier": "011459",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0012583",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006997",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.