Town of Conway
Organization Active NPI Land Ambulance · Conway, MA
NPI 1497985477 · NPPES record last updated Nov 18, 2009
Key facts
- NPI
- 1497985477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 3370 (MA)
- Legal business name
- TOWN OF CONWAY
- Practice address
- 32 Main Street
Conway, MA 01341-0412 - Phone
- (413) 369-4235
- NPI assigned
- Jul 23, 2009
- Organization subpart
- No
Authorized official
- Name
- Mr. Randall Williams
- Title
- EMS Director
- Phone
- (413) 369-4235
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| 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 |
National Provider Directory
- Tax ID family
- Town of Conway
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3370 | MA | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013159 | Other | MA | BCBS |
Other names
- Town of Conway Ambulance Service
Other providers in Conway, MA
All providers in Conway, MA · Land Ambulance in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.