NPIMap

Organization Active NPI

Northshore Ambulance, Inc.

  • Land Ambulance
  • Salem, MA
National Provider Identifier
1437104908
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3920 Issued in MA
Legal business name
NORTHSHORE AMBULANCE, INC.
Doing business as
Northshore Ambulance, Inc.
Practice address
63 Grove Street
Salem, MA 01970
Phone
(617) 599-4497
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Mr. Robert A Dionne
Title
President
Phone
(617) 599-4497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3920 MA Primary

Addresses

Primary practice location

63 Grove Street
Salem, MA 01970

Mailing address

PO Box 902
63 Grove Street
Salem, MA 01970-5802
Phone (617) 599-4497

Other identifiers 1

IdentifierTypeStateIssuer
1710001MedicaidMA

Other names 1

  • Northshore Ambulance, Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

89 Margin St
Salem, MA 01970
Phone (978) 744-1349

63 Grove St
Salem, MA 01970
Phone (617) 599-4497

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1437104908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "address_2": "63 GROVE STREET",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019705802",
            "telephone_number": "617-599-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 GROVE STREET",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "01970",
            "telephone_number": "617-599-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "DIONNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-599-4497",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northshore Ambulance, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.