Organization Active NPI

Town of Wrentham

  • Land Ambulance
  • Wrentham, MA
National Provider Identifier
1194731661
Registry record updated Jul 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3423 Issued in MA
Legal business name
TOWN OF WRENTHAM
Practice address
99 South St
Wrentham, MA 02093-1526
Phone
(508) 384-3131
Fax
(508) 384-7468
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2008

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

Authorized official

Name
Mark S. Pare
Title
Fire Chief
Phone
(508) 384-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 3423 MA Primary

Addresses

Primary practice location

99 South St
Wrentham, MA 02093-1526

Mailing address

99 South St
P.O. Box 614
Wrentham, MA 02093-1526
Phone (508) 384-3131

Other identifiers 1

IdentifierTypeStateIssuer
1715577MedicaidMA

Other names 1

  • Wrentham Fire Department Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060817000009 MA Part B Supplier - Ambulance Service Supplier 3274559166 Practice locations: Wrentham, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
22D2314510Town of Wrentham-Fire Department99 South St, Wrentham, MA 02093Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory
Tax ID family
Town of Wrentham3 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

99 South St
Wrentham, MA 02093
Phone (508) 384-3131

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1194731661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 SOUTH ST",
            "address_2": "P.O. BOX 614",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931526",
            "telephone_number": "508-384-3131",
            "fax_number": "508-384-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SOUTH ST",
            "city": "WRENTHAM",
            "state": "MA",
            "postal_code": "020931526",
            "telephone_number": "508-384-3131",
            "fax_number": "508-384-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WRENTHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "PARE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "508-384-3131"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MA",
            "license": "3423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1715577",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wrentham Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wrentham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.