Active NPI
Town of Mansfield
Doing business as Mansfield Rescue
- Land Ambulance
- Mansfield, MA
National Provider Identifier
1376526897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF MANSFIELD
- Doing business as
- Mansfield Rescue
- Practice address
- 500 East St Ste a
Mansfield, MA 02048-2969 - Phone
- (508) 261-7320
- NPI assigned
- Nov 29, 2005
- Last updated
- Jan 29, 2024
- 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 Desrosiers
- Title
- Fire Chief
- Phone
- (508) 261-7490
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3112 | MA | |
| Land Ambulance | 3416L0300X | NU | Primary |
Addresses
Primary practice location
500 East St Ste a
Mansfield, MA 02048-2969
Mailing address
500 East St
Mansfield, MA 02048-2969
Phone (508) 261-7321
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000024358 | Other | BMC HEALTHNET | |
| 700070 | Other | HARVARD PILGRIM | |
| 800902 | Other | TUFTS HEALTH PLAN | |
| 1701061 | Medicaid | MA | |
| 0009746 | Other | NEIGHBORHOOD HEALTH | |
| 590011004 | Other | RR MEDICARE | |
| 160351XX | Other | NY | PREFERRED CARE |
Other names 1
- Mansfield Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110811000324 | MA | Part B Supplier - Ambulance Service Supplier | 9638348469 | Practice locations: Mansfield, MA |
National Provider Directory
National Provider Directory- Tax ID family
- Mansfield Public Schools
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Mansfield, MA
- NPI 1750443107
-
- Public Health or Welfare Agency
- Mansfield, MA
- NPI 1982468740
Locations
10 Plymouth St
Mansfield, MA 02048
Phone (508) 261-7493
500 East St
Mansfield, MA 02048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1376526897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 EAST ST",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482969",
"telephone_number": "508-261-7321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 EAST ST STE A",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020482969",
"telephone_number": "508-261-7320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MANSFIELD",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "DESROSIERS",
"authorized_official_first_name": "JUSTIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "508-261-7490"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3112",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC HEALTHNET",
"identifier": "000000024358",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700070",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "800902",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1701061",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0009746",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590011004",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED CARE",
"identifier": "160351XX",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mansfield Rescue",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mansfield Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mansfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.