Organization Active NPI

Town of Acton

  • Land Ambulance
  • Acton, MA
National Provider Identifier
1669473021
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3215 Issued in MA
Legal business name
TOWN OF ACTON
Practice address
472 Main St
Acton, MA 01720-3952
Phone
(978) 264-9645
NPI assigned
Aug 9, 2005
Last updated
Jan 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF ACTONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Anita R Arnum
Title
Chief
Phone
(978) 929-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3215 MA Primary

Addresses

Primary practice location

472 Main St
Acton, MA 01720-3952

Mailing address

472 Main St
Acton, MA 01720-3952
Phone (978) 929-7722

Other identifiers 3

IdentifierTypeStateIssuer
1706853MedicaidMA
590001184OtherMARR MEDICARE
032059OtherMABCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120330000013 MA Part B Supplier - Ambulance Service Supplier 5496772840 Practice locations: Acton, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Town of Acton3 organizations share this tax ID, including this one
Part of
Town of Acton

Other organizations with this tax ID 2

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

Locations

30 Sudbury Rd
Acton, MA 01720
Phone (978) 929-6650

472 Main St
Acton, MA 01720
Phone (978) 264-9653

7 Concord Rd
Acton, MA 01720
Phone (978) 264-9645

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Acton Public Health Nursing ServicesActon, MA, CCN 227057 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1669473021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203952",
            "telephone_number": "978-929-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 MAIN ST",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017203952",
            "telephone_number": "978-264-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ACTON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF ACTON",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ARNUM",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "978-929-7722"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706853",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590001184",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "032059",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.