Town of Manchester

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C077P2 Issued in CT

Legal business name

TOWN OF MANCHESTER

Practice address

75 Center St
Manchester, CT 06040-5002

Phone

(860) 647-3266

Fax

(860) 647-3268

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott Shanley

Title

General Manager

Phone

(860) 647-3124

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Manchester Fire Rescue and EMS Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341187200000",
    "number": "1720119894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405090",
            "telephone_number": "860-647-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405002",
            "telephone_number": "860-647-3266",
            "fax_number": "860-647-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MANCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2012-07-02",
        "status": "A",
        "authorized_official_last_name": "SHANLEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "860-647-3124",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C077P2",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C077P2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008001469",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "710C077A5CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manchester Fire Rescue and EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael James Tortora, M.D.
• Brittany Lynn Toscano, DPT, PT
• Total Learning and Therapy Center
• Total Therapy Today LLC
• Totalvision Eyecare Center of Manchester PLLC
• Mary Elizabeth Tracey, ND
• Katherine Ellen Tracy, M.D.
• Trailheads Therapeutic Services LLC
• Thanh N Tran, LPC
• Transforming Hearts PLLC

• Land Ambulance in Manchester, CT
• Providers in Manchester, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.