Organization Active NPI

City of Chicopee

  • Land Ambulance
  • Chicopee, MA
National Provider Identifier
1952398034
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF CHICOPEE
Practice address
80 Church St
Chicopee, MA 01020-1871
Phone
(413) 594-1630
NPI assigned
Oct 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Stamborski
Title
Chief
Phone
(413) 594-1630

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3349 MA
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

80 Church St
Chicopee, MA 01020-1871

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 1

IdentifierTypeStateIssuer
1707205MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100309000618 MA Part B Supplier - Ambulance Service Supplier 7416869169 Practice locations: Chicopee, MA

National Provider Directory

National Provider Directory
Tax ID family
City of Chicopee3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 James St
Chicopee, MA 01022
Phone 41359416301631

1599 Memorial Dr
Chicopee, MA 01020
Phone (413) 594-1660

739 Grattan St
Chicopee, MA 01020
Phone 41359416301631

80 Church St
Chicopee, MA 01020
Phone (413) 594-1630

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626998400000",
    "number": "1952398034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 CHURCH ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201871",
            "telephone_number": "413-594-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHICOPEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2021-07-23",
        "certification_date": "2021-07-23",
        "status": "A",
        "authorized_official_last_name": "STAMBORSKI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "413-594-1630"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3349",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1707205",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.