Active NPI
Town of Upton
- Ambulance
- Upton, MA
National Provider Identifier
1891975215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3313
- Legal business name
- TOWN OF UPTON
- Practice address
- 20 Church Street
Upton, MA 01568-0453 - Phone
- (508) 529-3421
- NPI assigned
- Nov 14, 2007
- Last updated
- Jun 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian F. Kemp
- Title
- EMS Director
- Phone
- (508) 529-3421
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3313 | MA | Primary |
Addresses
Primary practice location
20 Church Street
Upton, MA 01568-0453
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TO088559 | Other | MA | BLUE CROSS |
Other names 1
- Upton EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110805000608 | MA | Part B Supplier - Ambulance Service Supplier | 6204005309 | Practice locations: Upton, MA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2157724 | Town of Upton Fire - EMS Department | Certificate of waiver | Nov 12, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Upton
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Upton, MA
- NPI 1316199177
Locations
20 Church St
Upton, MA 01568
Phone (508) 529-3421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1308182400000",
"number": "1891975215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "508-476-9740",
"fax_number": "508-476-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 CHURCH STREET",
"city": "UPTON",
"state": "MA",
"postal_code": "015680453",
"telephone_number": "508-529-3421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF UPTON",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-14",
"last_updated": "2011-06-16",
"status": "A",
"authorized_official_last_name": "KEMP",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "508-529-3421",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "TO088559",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Upton EMS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Upton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.