Town of Southwick
Organization Active NPI Ambulance · Southwick, MA
NPI 1881664779 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1881664779
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 3329 (MA)
- Legal business name
- TOWN OF SOUTHWICK
- Practice address
- 15 Depot St
Southwick, MA 01077-9501 - Phone
- (413) 569-6363
- NPI assigned
- Jan 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Russ Anderson
- Title
- Chief
- Phone
- (413) 569-6363
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110525000001 | MA | Part B Supplier - Ambulance Service Supplier | 5698951796 | Practice locations: Southwick, MA |
National Provider Directory
Locations
15 Depot St
Southwick, MA 01077
Phone (413) 569-6363
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3329 | MA | Yes |
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
15 Depot St
Southwick, MA 01077-9501
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720074 | Medicaid | MA | |
| 590014215 | Other | RR MEDICARE |
Other providers in Southwick, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.