Town of Charlemont

Primary specialty

AmbulanceTaxonomy code 341600000X

License

3368 Issued in MA

Legal business name

TOWN OF CHARLEMONT

Doing business as

Charlemont Fire Department Ambulance

Practice address

5 Factory Rd
Charlemont, MA 01339

Phone

(413) 339-4090

NPI assigned

Feb 21, 2007

Last updated

Sep 27, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Johnson

Title

EMS Coordinator

Phone

(413) 339-4090

Specialties & licenses 2

Addresses

Other names 1

• Charlemont Fire Department Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1972638161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DRIVE",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 FACTORY RD",
            "city": "CHARLEMONT",
            "state": "MA",
            "postal_code": "01339",
            "telephone_number": "413-339-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHARLEMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "413-339-4090"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3368",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlemont Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nathan Jepsen, PMHNP
• Zia Meyer
• Town of Charlemont

• Ambulance in Charlemont, MA
• Providers in Charlemont, MA by specialty
• Ambulance in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.