Active NPI
Town of Agawam
- Land Ambulance
- Agawam, MA
National Provider Identifier
1366482606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3659
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2301155 | Agawam Fire Department (Agawam Ambulance Service) | Certificate of waiver | Mar 20, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Agawam
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Meals Provider
- Agawam, MA
- NPI 1013490077
-
- Local Education Agency (LEA)
- Feeding Hills, MA
- NPI 1861517849
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.