Organization Active NPI

Town of Mansfield

Doing business as Mansfield Rescue

  • Land Ambulance
  • Mansfield, MA
National Provider Identifier
1376526897
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000024358OtherBMC HEALTHNET
700070OtherHARVARD PILGRIM
800902OtherTUFTS HEALTH PLAN
1701061MedicaidMA
0009746OtherNEIGHBORHOOD HEALTH
590011004OtherRR MEDICARE
160351XXOtherNYPREFERRED CARE

Other names 1

  • Mansfield Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110811000324 MA Part B Supplier - Ambulance Service Supplier 9638348469 Practice locations: Mansfield, MA

National Provider Directory

National Provider Directory
Tax ID family
Mansfield Public Schools3 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

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.

Verify at the official NPI Registry.