Coastline Emergency Medical Services, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

160 Issued in RI

Legal business name

COASTLINE EMERGENCY MEDICAL SERVICES, INC

Practice address

500 Taunton Ave
East Providence, RI 02914-1615

Phone

(401) 649-4310

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carol L Mansfield

Title

Ceo

Phone

(508) 997-0707

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1962757773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14069",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029140069",
            "telephone_number": "404-649-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TAUNTON AVE",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029141615",
            "telephone_number": "401-649-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "MANSFIELD",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-997-0707",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "RI",
            "license": "160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in East Providence, RI
• Providers in East Providence, RI by specialty
• Land Ambulance in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.