Organization Active NPI

Special Services Transportation Agency

  • Non-emergency Medical Transport (VAN)
  • Colchester, VT
National Provider Identifier
1124185459
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SPECIAL SERVICES TRANSPORTATION AGENCY
Doing business as
SSTA
Practice address
2091 Main St
Colchester, VT 05446-7651
Phone
(802) 878-1527
NPI assigned
Jan 3, 2007
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
Barbara Tennien
Title
Assistant Director
Phone
(802) 878-1527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2091 Main St
Colchester, VT 05446-7651

Mailing address

2091 Main St
Colchester, VT 05446-7651
Phone (802) 878-1527

Other identifiers 1

IdentifierTypeStateIssuer
1001700MedicaidVT

Other names 1

  • SSTA Doing business as

National Provider Directory

National Provider Directory

Locations

2091 Main St
Colchester, VT 05446
Phone (802) 878-1527

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124185459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2091 MAIN ST",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054467651",
            "telephone_number": "802-878-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2091 MAIN ST",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054467651",
            "telephone_number": "802-878-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SERVICES TRANSPORTATION AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENNIEN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "802-878-1527"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001700",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SSTA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colchester, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.