Active NPI
Action Ambulance Service Inc
- Ambulance
- Wilmington, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3613
- Legal business name
- ACTION AMBULANCE SERVICE INC
- Practice address
- 1 Jewel Dr Ste 3
Wilmington, MA 01887-3386 - Phone
- (978) 253-2634
- Fax
- (978) 253-2567
- NPI assigned
- Sep 14, 2006
- Last updated
- Sep 20, 2022
- 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
- Donna Stephanie Nowak
- Title
- Manager, Patient Accounts
- Phone
- (978) 253-2641
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3613 | MA | Primary |
Addresses
Primary practice location
1 Jewel Dr Ste 3
Wilmington, MA 01887-3386
Mailing address
1 Jewel Dr Ste 3
Wilmington, MA 01887-3386
Phone (978) 253-2634
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 800129 | Other | MA | TUFTS |
| 1705857 | Medicaid | MA | |
| 441590269 | Other | MA | RR MEDICARE |
| 700439 | Other | MA | HARVARD PILGRIM |
| 027759 | Other | MA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070731000143 | MA | Part B Supplier - Ambulance Service Supplier | 7416058755 | Practice locations: Bedford, MA; Winthrop, MA; Wilmington, MA; Wakefield, MA; Swampscott, MA; Stoneham, MA; Pittsfield, MA; Peabody, MA… |
| O20210302002651 | MA | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416058755 | Practice locations: Wilmington, MA |
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 |
|---|---|---|---|
| 22D2196768 | Action Ambulance Service, Inc | Certificate of waiver | Oct 19, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Action Ambulance Service Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Tamworth, NH
- NPI 1265382592
Locations
1 Commercial Ave
Rear
Bedford, MA 01730
Phone (781) 538-5308
21 Hayward St
#16
Ipswich, MA 01938
Phone (978) 312-1861
128 County Rd
Ipswich, MA 01938
Phone (978) 356-2110
3 Graf Rd
Newburyport, MA 01950
Phone (978) 961-0356
77 Walnut St
Ste 11
Peabody, MA 01960
Phone (978) 548-4373
121 W Housatonic St
Pittsfield, MA 01201
Phone (413) 445-5355
75 Seymour St
Pittsfield, MA 01201
Phone (413) 445-5355
55 American Legion Hwy
Revere, MA 02151
Phone (781) 284-2317
11 Central St
Stoneham, MA 02180
Phone (781) 279-9842
211 Essex St
Swampscott, MA 01907
Phone (339) 440-5780
1 Jewel Dr
Ste 3
Wilmington, MA 01887
Phone (978) 253-2600
844 Woburn St
Rear
Wilmington, MA 01887
Phone (978) 253-2600
415 Shirley St
Winthrop, MA 02152
Phone (617) 846-2587
4F Henshaw St
Woburn, MA 01801
Phone (617) 548-1019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663632000000",
"number": "1902901804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 JEWEL DR STE 3",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873386",
"telephone_number": "978-253-2634",
"fax_number": "978-253-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 JEWEL DR STE 3",
"city": "WILMINGTON",
"state": "MA",
"postal_code": "018873386",
"telephone_number": "978-253-2634",
"fax_number": "978-253-2567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACTION AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A",
"authorized_official_last_name": "NOWAK",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "STEPHANIE",
"authorized_official_title_or_position": "MANAGER, PATIENT ACCOUNTS",
"authorized_official_telephone_number": "978-253-2641"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "800129",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1705857",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "441590269",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700439",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "027759",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.