Active NPI
Town of Plymouth
- Land Ambulance
- Plymouth, NH
National Provider Identifier
1083692776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF PLYMOUTH
- Practice address
- 42 Highland St
Plymouth, NH 03264-1236 - Phone
- (603) 536-1253
- NPI assigned
- Jan 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casino Clogston
- Title
- Chief
- Phone
- (603) 536-1253
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
42 Highland St
Plymouth, NH 03264-1236
Mailing address
42 Highland St
Plymouth, NH 03264-1236
Phone (603) 536-1253
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 700353 | Other | HARVARD PILGRIM | |
| 80006290 | Medicaid | NH | |
| 7106290Y0NH01 | Other | BLUE CROSS BLUE SHIELD | |
| 590008029 | Other | RR MEDICARE | |
| 734851 | Other | TUFTS HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070726000150 | NH | Part B Supplier - Ambulance Service Supplier | 1658472212 | Practice locations: Plymouth, NH |
National Provider Directory
National Provider DirectoryLocations
42 Highland St
Plymouth, NH 03264
Phone (603) 536-1253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443657600000",
"number": "1083692776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 HIGHLAND ST",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032641236",
"telephone_number": "603-536-1253",
"fax_number": "603-536-0035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 HIGHLAND ST",
"city": "PLYMOUTH",
"state": "NH",
"postal_code": "032641236",
"telephone_number": "603-536-1253"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF PLYMOUTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-04",
"last_updated": "2015-10-01",
"status": "A",
"authorized_official_last_name": "CLOGSTON",
"authorized_official_first_name": "CASINO",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "603-536-1253"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "700353",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80006290",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7106290Y0NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590008029",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "734851",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.