NPIMap

Organization Active NPI

Town of Manchester-by-the-Sea

  • Ambulance
  • Manchester, MA
National Provider Identifier
1861475378
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
3192 Issued in MA
Legal business name
TOWN OF MANCHESTER-BY-THE-SEA
Practice address
12 School St
Manchester, MA 01944-1336
Phone
(978) 526-4040
NPI assigned
Nov 29, 2005
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Andrew Paskalis
Title
Chief
Phone
(978) 526-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 3192 MA Primary

Addresses

Primary practice location

12 School St
Manchester, MA 01944-1336

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
P0013206OtherRR MEDICARE
1708376MedicaidMA
804542OtherTUFTS HEALTH PLAN
700878OtherHARVARD PILGRIM

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040727000873 MA Part B Supplier - Ambulance Service Supplier 7618947870 Practice locations: Manchester, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Board of Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12 School St
Manchester, MA 01944
Phone (978) 526-4040

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1861475378",
    "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": "12 SCHOOL ST",
            "city": "MANCHESTER",
            "state": "MA",
            "postal_code": "019441336",
            "telephone_number": "978-526-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MANCHESTER-BY-THE-SEA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-29",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "PASKALIS",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "978-526-4040"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MA",
            "license": "3192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P0013206",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708376",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "804542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "700878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.