Organization Active NPI

Palmer Fire District No. 1 of Palmer

  • Land Ambulance
  • Palmer, MA
National Provider Identifier
1467143065
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PALMER FIRE DISTRICT NO. 1 OF PALMER
Practice address
12 Walnut St
Palmer, MA 01069-1724
Phone
(413) 283-3861
Fax
(413) 283-2241
NPI assigned
May 16, 2023
Last updated
Aug 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Authorized official

Name
Mr. William John Bernat Jr.
Title
Chief of Department
Phone
(413) 283-3861

Specialties & licenses 2

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

Addresses

Primary practice location

12 Walnut St
Palmer, MA 01069-1724

Mailing address

12 Walnut St
Palmer, MA 01069-1724
Phone (413) 283-3861

Other names 1

  • Palmer Fire District No. 1 and Palmer Water District No. 1 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240925001846 MA Part B Supplier - Ambulance Service Supplier 5294276648 Practice locations: Palmer, MA

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
22D2314926Palmer Fire District No 112 Walnut Street, Palmer, MA 01069Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

12 Walnut St
Palmer, MA 01069
Phone (413) 283-3861

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1467143065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WALNUT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691724",
            "telephone_number": "413-283-3861",
            "fax_number": "413-283-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WALNUT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691724",
            "telephone_number": "413-283-3861",
            "fax_number": "413-283-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER FIRE DISTRICT NO. 1 OF PALMER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "BERNAT",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OF DEPARTMENT",
        "authorized_official_telephone_number": "413-283-3861",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palmer Fire District No. 1 and Palmer Water District No. 1",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Palmer Fire District No. 1 and Palmer Water District No. 1",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Palmer, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.