Organization Active NPI

Dalton Ambulance and Rescue Inc

  • Ambulance
  • Dalton, MA
National Provider Identifier
1295884112
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3355 Issued in MA
Legal business name
DALTON AMBULANCE AND RESCUE INC
Practice address
20 Flansburg Ave
Dalton, MA 01226-1409
Phone
(413) 684-0500
Fax
(413) 684-6120
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Nicole Woodard
Title
Ambulance Director
Phone
(413) 684-6127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3355 MA Primary

Addresses

Primary practice location

20 Flansburg Ave
Dalton, MA 01226-1409

Mailing address

20 Flansburg Ave
Dalton, MA 01226-1409
Phone (413) 684-6127

Other identifiers 2

IdentifierTypeStateIssuer
000000027879OtherMABOSTON MEDICAL PROV NUM
1171261MedicaidMA

Other names 1

  • Dalton Ambulance Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1295884112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 FLANSBURG AVE",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261409",
            "telephone_number": "413-684-6127",
            "fax_number": "413-684-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FLANSBURG AVE",
            "city": "DALTON",
            "state": "MA",
            "postal_code": "012261409",
            "telephone_number": "413-684-0500",
            "fax_number": "413-684-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON AMBULANCE AND RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "AMBULANCE DIRECTOR",
        "authorized_official_telephone_number": "413-684-6127"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL PROV NUM",
            "identifier": "000000027879",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1171261",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dalton Ambulance",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dalton Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dalton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.