Organization Active NPI

Town of Shelburne

  • Land Ambulance
  • Shelburne, VT
National Provider Identifier
1053394973
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0323 Issued in VT
Legal business name
TOWN OF SHELBURNE
Practice address
154 Turtle Lane
Shelburne, VT 05482
Phone
(802) 985-5125
Fax
(802) 985-5128
NPI assigned
Nov 23, 2005
Organization subpart
Yes
Parent organization
TOWN OF SHELBURNEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Wendi Turner
Title
Treasurer
Phone
(802) 985-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0323 VT Primary

Addresses

Primary practice location

154 Turtle Lane
Shelburne, VT 05482

Mailing address

PO Box 254
Shelburne, VT 05482-0254
Phone (802) 985-5125

Other identifiers 2

IdentifierTypeStateIssuer
2534OtherVTBLUE CROSS
OAM0136MedicaidVT

Other names 1

  • Shelburne Rescue Squad Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110428000126 VT Part B Supplier - Ambulance Service Supplier 6901081355 Practice locations: Shelburne, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1032625Town of Shelburne Rescue Department154 Turtle LN, Shelburne, VT 05482Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory
Part of
Town of Shelburne Rescu

Locations

154 Turtle Ln
Shelburne, VT 05482
Phone (802) 985-5125

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1053394973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "054820254",
            "telephone_number": "802-985-5125",
            "fax_number": "802-985-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 TURTLE LANE",
            "city": "SHELBURNE",
            "state": "VT",
            "postal_code": "05482",
            "telephone_number": "802-985-5125",
            "fax_number": "802-985-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SHELBURNE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF SHELBURNE",
        "enumeration_date": "2005-11-23",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "802-985-5125"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2534",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OAM0136",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shelburne Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelburne, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.