Riverside Park EMS

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

3985 Issued in MA

Legal business name

RIVERSIDE PARK EMS

Practice address

1623 Main St
Agawam, MA 01001-2512

Phone

(413) 786-9300

Fax

(413) 786-6324

NPI assigned

Nov 11, 2016

Organization subpart

Yes

Parent organization

SIX FLAGSAs reported in NPPES

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

Authorized official

Name

Mr. Jonathan Hall, PARAMEDIC

Title

Als Coordinator

Phone

(413) 786-9300

Specialties & licenses 2

Addresses

Other names 1

• Six Flags EMS Other name

Part of

Riverside Park EMS

Locations

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1821530544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012512",
            "telephone_number": "413-786-9300",
            "fax_number": "413-786-6324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 MAIN ST",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010012512",
            "telephone_number": "413-786-9300",
            "fax_number": "413-786-6324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE PARK EMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIX FLAGS",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "ALS COORDINATOR",
        "authorized_official_telephone_number": "413-786-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3985",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Six Flags EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Resilience Physical Therapy and Wellness, LLC
• Doreen Alexandria Reyes, LMT, CAGS
• Maureen Clare Reynolds, PTA
• Tiana Marie Riopelle
• Riverbend Medical Group, Inc (Trinity Health Of New England Medical Group)
• Joshua David Robert
• John Edward Rock, COTA
• Diego Armando Rodriguez, DMD
• Michelle Ruth Roy, OTA
• Christopher Rumplik, PA-C

• Land Ambulance in Agawam, MA
• Providers in Agawam, MA by specialty
• Land Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.