Organization Active NPI

Wood's Ambulance Inc.

  • Ambulance
  • Gardner, MA
National Provider Identifier
1851391361
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3282 Issued in MA
Legal business name
WOOD'S AMBULANCE INC.
Practice address
457 Main St
Gardner, MA 01440-3018
Phone
(978) 632-6352
Fax
(978) 632-6318
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Mr. James A Wood
Title
President
Phone
(978) 632-6352

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3282 MA Primary

Addresses

Primary practice location

457 Main St
Gardner, MA 01440-3018

Mailing address

457 Main St
Gardner, MA 01440-3018
Phone (978) 632-6352

Other identifiers 8

IdentifierTypeStateIssuer
800349OtherMATUFTS
01262766OtherMANEW YORK MEDICAID
S007152OtherMATRICARE
99908373OtherMANEW HAMPSHIRE MEDICAID
70964OtherMACIGNA
1701479MedicaidMA
0024374OtherMAUS HEALTHCARE
700223OtherMAPILGRAM HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080218000169 MA Part B Supplier - Ambulance Service Supplier 7214025840 Practice locations: Gardner, MA

National Provider Directory

National Provider Directory

Locations

457 Main St
Gardner, MA 01440
Phone (978) 632-6352

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1851391361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403018",
            "telephone_number": "978-632-6352",
            "fax_number": "978-632-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 MAIN ST",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014403018",
            "telephone_number": "978-632-6352",
            "fax_number": "978-632-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD'S AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-632-6352",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "800349",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK MEDICAID",
            "identifier": "01262766",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "S007152",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW HAMPSHIRE MEDICAID",
            "identifier": "99908373",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "70964",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1701479",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE",
            "identifier": "0024374",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PILGRAM HEALTHCARE",
            "identifier": "700223",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardner, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.