Organization Active NPI

Town of Abington

Doing business as Town of Abington Ambulance Service

  • Land Ambulance
  • Abington, MA
National Provider Identifier
1790720589
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3067 Issued in MA
Legal business name
TOWN OF ABINGTON
Doing business as
Town of Abington Ambulance Service
Practice address
1040 Bedford St
Abington, MA 02351-1260
Phone
(781) 982-2114
Fax
(781) 982-2104
NPI assigned
Jun 17, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
John D'Agostino
Title
Town Manager
Phone
(781) 982-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3067 MA Primary

Addresses

Primary practice location

1040 Bedford St
Abington, MA 02351-1260

Mailing address

PO Box 4110
Dept 1560
Woburn, MA 01888-4110
Phone (781) 982-2114

Other identifiers 4

IdentifierTypeStateIssuer
036859OtherMABLUE CROSS & BLUE SHIELD
1708333MedicaidMA
802100OtherMATUFTS HEALTH PLANS
700055OtherMAHARVARD PILGRIM HEALTH

Other names 1

  • Town of Abington Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000269 MA Part B Supplier - Ambulance Service Supplier 9234221821 Practice locations: Abington, MA

National Provider Directory

National Provider Directory
Tax ID family
Town of Abington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1040 Bedford St
Abington, MA 02351
Phone (781) 982-2114

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1790720589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4110",
            "address_2": "DEPT 1560",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018884110",
            "telephone_number": "781-982-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BEDFORD ST",
            "city": "ABINGTON",
            "state": "MA",
            "postal_code": "023511260",
            "telephone_number": "781-982-2114",
            "fax_number": "781-982-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ABINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "D'AGOSTINO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "781-982-2100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "036859",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708333",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLANS",
            "identifier": "802100",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HEALTH",
            "identifier": "700055",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Abington Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Abington Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.