Organization Active NPI

Town of Plainville

  • Ambulance
  • Plainville, MA
National Provider Identifier
1366429482
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3029 Issued in MA
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

Updated by the provider on Jan 26, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1701258MedicaidMA
000000025385OtherBMC HEALTHNET
0009618OtherNEIGHBORHOOD HEALTH
590006848OtherRR MEDICARE
700057OtherHARVARD PILGRIM
011859OtherMABLUE CROSS BLUE SHIELD
80599OtherTUFTS HEALTH PLAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111221000017 MA Part B Supplier - Ambulance Service Supplier 3072789130 Practice locations: Plainville, MA

National Provider Directory

National Provider Directory
Tax ID family
Plainville Public Schools2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.