Active NPI
Town of Acton
- Land Ambulance
- Acton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3215
- 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, 2024
- Organization subpart
- Yes
- Parent organization
- TOWN OF ACTON
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1706853 | Medicaid | MA | |
| 590001184 | Other | MA | RR MEDICARE |
| 032059 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
dba Acton Public Health Nursing Service
- Home Health Agency
- Acton, MA
- NPI 1376597104
5496772840
National Provider Directory
National Provider Directory- Tax ID family
- Town of Acton
- 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.
-
- Local Education Agency (LEA)
- Acton, MA
- NPI 1619097599
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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Acton Public Health Nursing Services | 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.
-
dba Acton Public Health Nursing Service
- Home Health Agency
- Acton, MA
- NPI 1376597104
5% Or Greater Direct Ownership Interest
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.