Organization Active NPI

Town of Agawam

  • Land Ambulance
  • Agawam, MA
National Provider Identifier
1366482606
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3659 Issued in MA
Legal business name
TOWN OF AGAWAM
Practice address
800 Main St
Agawam Ambulance Service
Agawam, MA 01001-2576
Phone
(413) 786-2662
Fax
(413) 786-1241
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Alan Sirois
Title
Chief
Phone
(413) 726-2880

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 3659 MA Primary

Addresses

Primary practice location

800 Main St
Agawam Ambulance Service
Agawam, MA 01001-2576

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other names 1

  • Agawam Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070504000038 MA Part B Supplier - Ambulance Service Supplier 7911917539 Practice locations: Feeding Hills, MA; Agawam, MA

Other NPIs with the same Medicare PAC ID 1

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

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
22D2301155Agawam Fire Department (Agawam Ambulance Service)800 Main St, Agawam, MA 01001Certificate of waiverMar 20, 2028

National Provider Directory

National Provider Directory
Tax ID family
Town of Agawam3 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

36 Main St
Agawam, MA 01001
Phone (413) 786-0400

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1366482606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAIN ST",
            "address_2": "AGAWAM AMBULANCE SERVICE",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012576",
            "telephone_number": "413-786-2662",
            "fax_number": "413-786-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF AGAWAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "SIROIS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "413-726-2880"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Agawam Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.