Organization Active NPI

Town of Hatfield

  • Land Ambulance
  • Hatfield, MA
National Provider Identifier
1376577601
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF HATFIELD
Practice address
59 Main St
Hatfield, MA 01038-9702
Phone
(413) 247-0489
Fax
(413) 247-5029
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Gregory J. Gagnon
Title
Ambulance Manager
Phone
(413) 247-0489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

59 Main St
Hatfield, MA 01038-9702

Mailing address

PO Box 161
Whitinsville, MA 01588-0161
Phone (508) 476-9740

Other identifiers 2

IdentifierTypeStateIssuer
1710141MedicaidMA
041759OtherMABCBS PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080110000082 MA Part B Supplier - Ambulance Service Supplier 1456431857 Practice locations: Hatfield, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Hatfield2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

59 Main St
Hatfield, MA 01038
Phone (413) 247-0489

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1376577601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161",
            "city": "WHITINSVILLE",
            "state": "MA",
            "postal_code": "015880161",
            "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": "59 MAIN ST",
            "city": "HATFIELD",
            "state": "MA",
            "postal_code": "010389702",
            "telephone_number": "413-247-0489",
            "fax_number": "413-247-5029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF HATFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "AMBULANCE MANAGER",
        "authorized_official_telephone_number": "413-247-0489"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710141",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "041759",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.