CENTERVILLE-OSTERVILLE-MARSTONS-MILLS FIRE DISTRICT
NPI 1750379319
Ambulance in Centerville, MA

Active since October 07, 2005CLIA 22D2315957 · Waiver
1875 FALMOUTH RD, CENTERVILLE, MA 02632(508) 790-2375 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Centerville-osterville-marstons-mills Fire District NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTERVILLE-OSTERVILLE-MARSTONS-MILLS FIRE DISTRICT (NPI 1750379319) is a healthcare organization registered as an ambulance in Centerville, Massachusetts and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Michael Winn, Deputy Chief, as its authorized official.

NPPES Registry Identity

NPI1750379319
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameCENTERVILLE-OSTERVILLE-MARSTONS-MILLS FIRE DISTRICT
Location Address1875 FALMOUTH RDCenterville, MA 02632-3117
Mailing Address8 Turcotte Memorial DrRowley, MA 01969-1706 · (800) 488-4351
Organization SubpartNo
Authorized OfficialMichael WinnDeputy Chief · (508) 790-2375
Enumeration DateOctober 7, 2005
Last NPPES UpdateApril 16, 2014
✔ NPI 1750379319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in MA · 3170
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
1875 FALMOUTH RD, Centerville, MA 02632

Other Identifiers 8

Other590013057Rr Medicare
Other000000024015Bmc Healthnet Plan
Other9721126NY · G.h.i Insurance
OtherMG6228Harvard Pilgrim
Other0020619Neighborhood Health
Other805081Tufts Health Plan
OtherAM0046MA · Blue Cross Blue Sheild
Medicaid1716042MA

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centerville-osterville-marstons-mills Fire District is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMassachusettsEnrollment IDO20091204000153Non-DME Part B · Ambulance Service SupplierDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2315957

Centerville-Osterville-Marstons Mills Fire/Rescue · Centerville, MA
Active · expires Dec 22, 2026
CLIA Number22D2315957
Laboratory TypeAmbulance
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorJason Davern
Laboratory Phone(508) 790-2375
Laboratory LocationCenterville-Osterville-Marstons Mills Fire/Rescue1875 Falmouth Road, Centerville, MA 02632
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.
8,888 services851 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.
989 services677 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.
406 services282 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Centerville-Osterville-Marstons-Mills Fire District's NPI number?

The NPI number for Centerville-Osterville-Marstons-Mills Fire District is 1750379319. It was assigned to this organization in the NPPES registry on October 7, 2005.

Where is Centerville-Osterville-Marstons-Mills Fire District located?

Centerville-Osterville-Marstons-Mills Fire District is located at 1875 Falmouth Rd, Centerville, MA 02632. The listed phone number is (508) 790-2375.

What is Centerville-Osterville-Marstons-Mills Fire District's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Is Centerville-Osterville-Marstons-Mills Fire District enrolled in Medicare?

Yes. Centerville-Osterville-Marstons-Mills Fire District is registered in the Medicare PECOS enrollment system.

When is Centerville-Osterville-Marstons-Mills Fire District's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Massachusetts, Ambulance Service Supplier) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does Centerville-Osterville-Marstons-Mills Fire District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 22D2315957) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Centerville-Osterville-Marstons-Mills Fire District was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.