Organization Active NPI

National Ambulance, LLC

  • Land Ambulance
  • Springfield, MA
National Provider Identifier
1710910971
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3800 Issued in MA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20060803000129 MA Part B Supplier - Ambulance Service Supplier 0446263784 Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.