Organization Active NPI

Town of Upton

  • Ambulance
  • Upton, MA
National Provider Identifier
1891975215
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3313 Issued in MA
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
TO088559OtherMABLUE CROSS

Other names 1

  • Upton EMS Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2157724Town of Upton Fire - EMS Department20 Church Street, Upton, MA 01568Certificate of waiverNov 12, 2026

National Provider Directory

National Provider Directory
Tax ID family
Town of Upton2 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

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.

Verify at the official NPI Registry.