Active NPI
Town of Wrentham
- Land Ambulance
- Wrentham, MA
National Provider Identifier
1194731661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 3423
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1715577 | Medicaid | MA |
Other names 1
- Wrentham Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 22D2314510 | Town of Wrentham-Fire Department | Certificate of waiver | Nov 20, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Town of Wrentham
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Wrentham, MA
- NPI 1740365329
-
- Local Education Agency (LEA)
- Wrentham, MA
- NPI 1073649810
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.