Organization Active NPI

Town of Chester

  • Land Ambulance
  • Chester, VT
National Provider Identifier
1083696157
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1102 Issued in VT
Legal business name
TOWN OF CHESTER
Practice address
556 Elm St
Chester, VT 05143-9350
Phone
(802) 875-2173
Fax
(802) 875-2237
NPI assigned
Nov 15, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Susan S. Spaulding
Title
Town Manager
Phone
(802) 875-2173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1102 VT Primary

Addresses

Primary practice location

556 Elm St
Chester, VT 05143-9350

Mailing address

556 Elm St
Chester, VT 05143-9350
Phone (802) 875-2173

Other identifiers 2

IdentifierTypeStateIssuer
6422OtherVTVT BLUE CROSS BLUE SHIELD
0006422MedicaidVT

Other names 1

  • Chester Ambulance Service Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000131 VT Part B Supplier - Ambulance Service Supplier 5991882540 Practice locations: Chester, VT

National Provider Directory

National Provider Directory

Locations

556 Elm St
Chester, VT 05143
Phone (802) 875-2173

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083696157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 ELM ST",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051439350",
            "telephone_number": "802-875-2173",
            "fax_number": "802-875-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 ELM ST",
            "city": "CHESTER",
            "state": "VT",
            "postal_code": "051439350",
            "telephone_number": "802-875-2173",
            "fax_number": "802-875-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF CHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "802-875-2173",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "1102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BLUE CROSS BLUE SHIELD",
            "identifier": "6422",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006422",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chester Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chester, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.