Organization Active NPI

Stat Ambulance Service Inc

  • Ambulance
  • Dartmouth, MA
National Provider Identifier
1649394529
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3954 Issued in MA
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

Updated by the provider on Nov 14, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1708309MedicaidMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000767 MA Part B Supplier - Ambulance Service Supplier 5890711808 Practice locations: Dartmouth, MA; South Dartmouth, MA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.