Manchester Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1203 Issued in VT

Legal business name

MANCHESTER RESCUE SQUAD INC

Practice address

6041 Main St
Manchester Center, VT 05255-0026

Phone

(802) 362-1995

Fax

(802) 362-8175

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Michael L. Casey, CCEMTP

Title

Coo

Phone

(802) 362-1995

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1831286590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "address_2": "C O NEAB",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054910153",
            "telephone_number": "802-877-2429",
            "fax_number": "802-877-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 MAIN ST",
            "city": "MANCHESTER CENTER",
            "state": "VT",
            "postal_code": "052550026",
            "telephone_number": "802-362-1995",
            "fax_number": "802-362-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANCHESTER RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "802-362-1995",
        "authorized_official_credential": "CCEMTP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "1203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006364",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00006364",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manchester Medical Center Primary Care
• Manchester Mental Health PLC
• Manchester Pharmacy
• Manchester Physical Therapy PLC
• Manchester Podiatry
• Steven B Mann, PHD
• Margaret B Mole, PLC
• Beth McCoy, MA, CCC-SLP
• Patricia Ann McCullagh, PSY.D.
• Marleigh Helen McNealus, OPTICIAN

• All providers in Manchester Center, VT
• Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.