Organization Active NPI

Shelburne Falls Fire District

  • Land Ambulance
  • Shelburne Falls, MA
National Provider Identifier
1295748135
Registry record updated Sep 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3374 Issued in MA
Legal business name
SHELBURNE FALLS FIRE DISTRICT
Practice address
121 State St
Shelburne Falls, MA 01370-1012
Phone
(413) 625-6392
Fax
(413) 625-6718
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2022

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

Authorized official

Name
Herbert Guyette
Title
Ambulance Director
Phone
(413) 625-6392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3374 MA Primary

Addresses

Primary practice location

121 State St
Shelburne Falls, MA 01370-1012

Mailing address

121 State St
Shelburne Falls, MA 01370-1012
Phone (413) 625-6392

Other identifiers 1

IdentifierTypeStateIssuer
1707167MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051006000192 MA Part B Supplier - Ambulance Service Supplier 1951326297 Practice locations: Shelburne Falls, 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
22D2317618Shelburne Falls Fire District121 State Street, Shelburne Falls, MA 01370Certificate of waiverJan 27, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1295748135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 STATE ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701012",
            "telephone_number": "413-625-6392",
            "fax_number": "413-625-6718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 STATE ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701012",
            "telephone_number": "413-625-6392",
            "fax_number": "413-625-6718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELBURNE FALLS FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "GUYETTE",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "413-625-6392"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707167",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelburne Falls, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.