NPIMap

Organization Active NPI

Commonwealth Ambulance Service

  • Ambulance
  • Needham Heights, MA
National Provider Identifier
1992727846
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3042 Issued in MA
Legal business name
COMMONWEALTH AMBULANCE SERVICE
Practice address
150 West St
Needham Heights, MA 02494
Phone
(781) 449-6814
Fax
(781) 449-6874
NPI assigned
Jul 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Dunlay Jr.
Title
Cco Owner
Phone
(781) 449-6814

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3042 MA Primary

Addresses

Primary practice location

150 West St
Needham Heights, MA 02494

Mailing address

PO Box 535
Baldwinsville, NY 13027
Phone (315) 635-1789

Other identifiers 2

IdentifierTypeStateIssuer
Q00234OtherBCBS OF MA
1720287MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992727846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "13027",
            "telephone_number": "315-635-1789",
            "fax_number": "315-635-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 WEST ST",
            "city": "NEEDHAM HEIGHTS",
            "state": "MA",
            "postal_code": "02494",
            "telephone_number": "781-449-6814",
            "fax_number": "781-449-6874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONWEALTH AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNLAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CCO OWNER",
        "authorized_official_telephone_number": "781-449-6814",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "Q00234",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720287",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Needham Heights, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.