Active NPI
Town of Conway
Doing business as Town of Conway Ambulance Service
- Land Ambulance
- Conway, MA
National Provider Identifier
1497985477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3370
- Legal business name
- TOWN OF CONWAY
- Doing business as
- Town of Conway Ambulance Service
- Practice address
- 32 Main Street
Conway, MA 01341-0412 - Phone
- (413) 369-4235
- NPI assigned
- Jul 23, 2009
- Last updated
- Nov 18, 2009
- 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
- Mr. Randall Williams
- Title
- EMS Director
- Phone
- (413) 369-4235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3370 | MA | Primary |
Addresses
Primary practice location
32 Main Street
Conway, MA 01341-0412
Mailing address
9 Main St Ste 2K
Sutton, MA 01590-1660
Phone (413) 369-4235
Other names 1
- Town of Conway Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091103000268 | MA | Part B Supplier - Ambulance Service Supplier | 1355488842 |
1 other NPI on this enrollment Practice locations: Conway, MA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Town of Conway Ambulance
- Land Ambulance
- Conway, MA
- NPI 1265521744
O20091103000268
National Provider Directory
National Provider Directory- Tax ID family
- Town of Conway
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Conway Public Schools
- Local Education Agency (LEA)
- South Deerfield, MA
- NPI 1508981382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258502400000",
"number": "1497985477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST STE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "413-369-4235",
"fax_number": "413-369-4237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 MAIN STREET",
"city": "CONWAY",
"state": "MA",
"postal_code": "013410412",
"telephone_number": "413-369-4235"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CONWAY",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-23",
"last_updated": "2009-11-18",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "RANDALL",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "413-369-4235",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Town of Conway Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Conway, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.