Active NPI
Stat Ambulance Service Inc
- Ambulance
- Dartmouth, MA
National Provider Identifier
1649394529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 3954
- Legal business name
- STAT AMBULANCE SERVICE INC
- Practice address
- 254 State Rd
Dartmouth, MA 02747-2614 - Phone
- (508) 997-6123
- NPI assigned
- Mar 18, 2007
- 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
- Ms. Carol Lee Mansfield
- Title
- Ceo
- Phone
- (508) 997-0707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3954 | MA | Primary |
Addresses
Primary practice location
254 State Rd
Dartmouth, MA 02747-2614
Mailing address
254 State Rd
Dartmouth, MA 02747-2614
Phone (508) 997-6123
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1708309 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051121000767 | MA | Part B Supplier - Ambulance Service Supplier | 5890711808 | Practice locations: Dartmouth, MA; South Dartmouth, MA |
National Provider Directory
National Provider DirectoryLocations
1100 Russells Mills Rd
Dartmouth, MA 02748
Phone (508) 992-2230
254 State Rd
Dartmouth, MA 02747
Phone (508) 758-2134
10 Bridge St
South Dartmouth, MA 02748
Phone (508) 995-2206
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Chiropractor
- Roxbury, MA
- NPI 1275591810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352851200000",
"number": "1649394529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "254 STATE RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472614",
"telephone_number": "508-997-6123",
"fax_number": "508-758-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 STATE RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027472614",
"telephone_number": "508-997-6123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STAT AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2012-11-14",
"status": "A",
"authorized_official_last_name": "MANSFIELD",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "508-997-0707",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "MA",
"license": "3954",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1708309",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; 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.