TOWN OF MANCHESTER (NPI# 1720119894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720119894 |
| Entity Type | Organization |
| Organization Name | TOWN OF MANCHESTER |
| Other Organization Name | MANCHESTER FIRE RESCUE AND EMS |
| Practice Address |
75 Center St Manchester CT 06040-5002 |
| Mailing Address |
41 Center St Manchester CT 06040-5090 |
| Practice Telephone | 8606473266 |
| Practice Fax Number | 8606473268 |
| Mailing Telephone | 8606473124 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2012-07-02 |
| Authorized Official Name | MR. SCOTT SHANLEY (GENERAL MANAGER) |
| Authorized Official Telephone | 8606473124 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | C077P2 | CT | Transportation Services |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
C077P2 | CT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 008001469 | 05 | |
| ANTHEM BLUE CROSS BLUE SHIELD | 710C077A5CT01 | 01 |
| Other Name | Type Code |
|---|---|
| Manchester Fire Rescue and EMS | Doing Business As Name - Organization |
| Street Address |
75 CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962642520 | Manchester Village | Ambulance | 405 E. 5th St., Manchester, OH 45144 | 2009-02-23 |
| 1699851683 | West County Ems and Fire Protection District | Ambulance | 223 Henry Ave, Manchester, MO 63011-4019 | 2006-10-31 |
| 1801991724 | Manchester Firemens Benefit Association | Ambulance | 405 E 5th St, Manchester, OH 45144-1414 | 2006-09-14 |
| 1063529741 | Ambulance Service of Manchester, LLC | Ambulance | 275 New State Rd, Manchester, CT 06042-1810 | 2006-08-25 |
| 1780641035 | Clay County Fiscal Court | Ambulance | 115 Court St, Manchester, KY 40962 | 2006-04-28 |
| 1437151040 | Safety Resources Group Ems Inc | Ambulance | 250 Commercial St, Suite 1014, Manchester, NH 03101-1142 | 2005-08-12 |
| 1750380978 | County of Coffee Office of County Executive | Ambulance | 1100 Madison Street, Manchester, TN 37355-2224 | 2005-07-19 |
| 1629077474 | Manchester Ambulance Club | Ambulance | 10 Devco Drive, Manchester, PA 17345 | 2005-07-14 |
| 1639702368 | Manchester Township | Ambulance | 1 Colonial Dr, Manchester, NJ 08759-6501 | 2020-02-21 |
| 1235208422 | Delaware County Memorial Hospital | Ambulance | 709 W Main St, Manchester, IA 52057-1526 | 2006-11-06 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on TOWN OF MANCHESTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.