Organization Active NPI

City of Northampton

  • Land Ambulance
  • Northampton, MA
National Provider Identifier
1336185578
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF NORTHAMPTON
Practice address
26 Carlon Drive
Northampton, MA 01060-2373
Phone
(413) 587-1032
Fax
(413) 587-1034
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mr. Brian P. Duggan
Title
Fire Chief
Phone
(413) 587-1039

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

26 Carlon Drive
Northampton, MA 01060-2373

Mailing address

9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740

Other identifiers 2

IdentifierTypeStateIssuer
1721224MedicaidMA
104059OtherMABCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000927 MA Part B Supplier - Ambulance Service Supplier 6103816293 Practice locations: Florence, MA; Northampton, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
City of Northampton3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

26 Carlon Dr
Northampton, MA 01060
Phone (413) 587-1029

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1336185578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MAIN ST",
            "address_2": "SUITE 2K",
            "city": "SUTTON",
            "state": "MA",
            "postal_code": "015901660",
            "telephone_number": "508-476-9740",
            "fax_number": "508-476-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 CARLON DRIVE",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602373",
            "telephone_number": "413-587-1032",
            "fax_number": "413-587-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORTHAMPTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "413-587-1039",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1721224",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "104059",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.