Active NPI
National Ambulance, LLC
- Land Ambulance
- Springfield, MA
National Provider Identifier
1710910971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3800
- Legal business name
- NATIONAL AMBULANCE, LLC
- Practice address
- 425 Saint James Ave
Springfield, MA 01109-3829 - Phone
- (413) 736-0092
- Fax
- (413) 736-0079
- NPI assigned
- Jul 9, 2006
- 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
- Avdey Adzigirey
- Title
- Executive General Manager
- Phone
- (413) 736-0092
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 3800 | MA | Primary |
Addresses
Primary practice location
425 Saint James Ave
Springfield, MA 01109-3829
Mailing address
425 Saint James Ave
Springfield, MA 01109-3829
Phone (413) 736-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060803000129 | MA | Part B Supplier - Ambulance Service Supplier | 0446263784 | Practice locations: Springfield, MA |
National Provider Directory
National Provider DirectoryLocations
425 Saint James Ave
Springfield, MA 01109
Phone (413) 736-0092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710910971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 SAINT JAMES AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093829",
"telephone_number": "413-736-0092",
"fax_number": "413-736-0079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 SAINT JAMES AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011093829",
"telephone_number": "413-736-0092",
"fax_number": "413-736-0079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATIONAL AMBULANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ADZIGIREY",
"authorized_official_first_name": "AVDEY",
"authorized_official_title_or_position": "EXECUTIVE GENERAL MANAGER",
"authorized_official_telephone_number": "413-736-0092"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "MA",
"license": "3800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.