Town of Derry

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0029 Issued in NH

Legal business name

TOWN OF DERRY

Practice address

14 Manning St
Derry, NH 03038-3201

Phone

(603) 432-6751

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Chuck Hemeon

Title

EMS Director

Phone

(603) 432-6751

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1073517934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9565",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031089565",
            "telephone_number": "603-432-6751",
            "fax_number": "603-537-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MANNING ST",
            "city": "DERRY",
            "state": "NH",
            "postal_code": "030383201",
            "telephone_number": "603-432-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF DERRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "HEMEON",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "603-432-6751"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710532",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "7106297Y0NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80596297",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "029000222",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ti - Derry LLC (Derry Healthcare and Rehabilitation Center)
• Time for Me Counseling PLLC
• TJD Counseling, Inc.
• Heidi Tobin
• Katelin Tolman, RN
• Brianna Trainor
• Michelle N Tran, RPH
• Tranquility Behavioral Health Clinic PLLC
• Stephen Richard Trask, RPH
• Sarah Tremblay, APRN-FNP

• Ambulance in Derry, NH
• Providers in Derry, NH by specialty
• Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.