Healthcare Provider Details

I. General information

NPI: 1619911971
Provider Name (Legal Business Name): AMERICAN MEDICAL RESPONSE OF MASSACHUSETTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2006
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 COTTAGE ST
SPRINGFIELD MA
01104-3220
US

IV. Provider business mailing address

PO BOX 100330
ATLANTA GA
30384-0330
US

V. Phone/Fax

Practice location:
  • Phone: 413-846-6100
  • Fax: 413-733-5230
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number3993
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: BRIAN SCOTT TIERNEY
Title or Position: EVP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 833-703-2294