Active NPI
Town of Plainville
- Ambulance
- Plainville, MA
National Provider Identifier
1366429482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3029
- Legal business name
- TOWN OF PLAINVILLE
- Practice address
- 190 South St
Plainville, MA 02762-1517 - Phone
- (508) 695-5252
- NPI assigned
- Dec 29, 2005
- 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
- Justin Alexander
- Title
- Chief
- Phone
- (508) 695-5252
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3029 | MA | Primary |
Addresses
Primary practice location
190 South St
Plainville, MA 02762-1517
Mailing address
PO Box 4110
Dept 5850
Woburn, MA 01888-4110
Phone (508) 695-5252
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1701258 | Medicaid | MA | |
| 000000025385 | Other | BMC HEALTHNET | |
| 0009618 | Other | NEIGHBORHOOD HEALTH | |
| 590006848 | Other | RR MEDICARE | |
| 700057 | Other | HARVARD PILGRIM | |
| 011859 | Other | MA | BLUE CROSS BLUE SHIELD |
| 80599 | Other | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111221000017 | MA | Part B Supplier - Ambulance Service Supplier | 3072789130 | Practice locations: Plainville, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Plainville Public Schools
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Plainville, MA
- NPI 1730206764
Locations
190 South St
Plainville, MA 02762
Phone (508) 695-5252
157 South St
Plainville, MA 02762
Phone (508) 695-5252
194 South St
Plainville, MA 02762
Phone (508) 695-5252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611619200000",
"number": "1366429482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4110",
"address_2": "DEPT 5850",
"city": "WOBURN",
"state": "MA",
"postal_code": "018884110",
"telephone_number": "508-695-5252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 SOUTH ST",
"city": "PLAINVILLE",
"state": "MA",
"postal_code": "027621517",
"telephone_number": "508-695-5252"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF PLAINVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A",
"authorized_official_last_name": "ALEXANDER",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "508-695-5252"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701258",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000025385",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0009618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590006848",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700057",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "011859",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "80599",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plainville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.