NPIMap

Organization Active NPI

Otis Rescue Squad, Inc

  • Ambulance
  • Otis, MA
National Provider Identifier
1447237557
Registry record updated Oct 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3363 Issued in MA
Legal business name
OTIS RESCUE SQUAD, INC
Practice address
15 S Main Rd
Otis, MA 01253
Phone
(413) 269-4409
NPI assigned
Dec 29, 2005
Last updated
Oct 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gina Fleming
Title
Emt Coordinator
Phone
(413) 269-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3363 MA Primary

Addresses

Primary practice location

15 S Main Rd
Otis, MA 01253

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 8

IdentifierTypeStateIssuer
613359OtherTUFTS HEALTH PLAN
590007485OtherRR MEDICARE
000000025869OtherBMC HEALTHNET PLAN
017759OtherMABLUE CROSS BLUE SHIELD
356215OtherMVP HEALTH CARE
703177OtherHARVARD PILGRIM
1713809MedicaidMA
613359Other21ST CENTURY HEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000010 MA Part B Supplier - Ambulance Service Supplier 9133305238 Practice locations: Otis, MA

National Provider Directory

National Provider Directory

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": "1382227200000",
    "number": "1447237557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN RD",
            "city": "OTIS",
            "state": "MA",
            "postal_code": "01253",
            "telephone_number": "413-269-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIS RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2013-10-20",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "EMT COORDINATOR",
        "authorized_official_telephone_number": "413-269-4409"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "613359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590007485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET PLAN",
            "identifier": "000000025869",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "017759",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH CARE",
            "identifier": "356215",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703177",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1713809",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "21ST CENTURY HEALTH",
            "identifier": "613359",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Otis, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2013; 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.