Organization Active NPI

Action Ambulance Service Inc

  • Ambulance
  • Wilmington, MA
National Provider Identifier
1902901804
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3613 Issued in MA
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
800129OtherMATUFTS
1705857MedicaidMA
441590269OtherMARR MEDICARE
700439OtherMAHARVARD PILGRIM
027759OtherMABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 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
22D2196768Action Ambulance Service, Inc1 Jewel Dr, Wilmington, MA 01887Certificate of waiverOct 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Action Ambulance Service Inc2 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

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.

Verify at the official NPI Registry.