Organization Active NPI

Town of Wakefield

Doing business as Wakefield Fire Department

  • Land Ambulance
  • Sanbornville, NH
National Provider Identifier
1144294430
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF WAKEFIELD
Doing business as
Wakefield Fire Department
Practice address
2017 Wakefield Rd
Sanbornville, NH 03872-6301
Phone
(603) 522-6205
NPI assigned
Feb 14, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Dino Scala
Title
Town Administrator
Phone
(603) 522-6205

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0330 NH
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

2017 Wakefield Rd
Sanbornville, NH 03872-6301

Mailing address

2017 Wakefield Rd
Sanbornville, NH 03872-6301
Phone (603) 522-6205

Other identifiers 4

IdentifierTypeStateIssuer
701549OtherHARVARD PILGRIM
441590488OtherRR MEDICARE
7106342Y0NH01OtherANTHEM BLUE CROSS
80596342MedicaidNH

Other names 1

  • Wakefield Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110606000196 NH Part B Supplier - Ambulance Service Supplier 1658558408 Practice locations: Sanbornville, NH

National Provider Directory

National Provider Directory

Locations

2 High St
Sanbornville, NH 03872
Phone (603) 522-6205

2017 Wakefield Rd
Sanbornville, NH 03872
Phone (603) 522-6205

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1144294430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 WAKEFIELD RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "038726301",
            "telephone_number": "603-522-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 WAKEFIELD RD",
            "city": "SANBORNVILLE",
            "state": "NH",
            "postal_code": "038726301",
            "telephone_number": "603-522-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WAKEFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "SCALA",
        "authorized_official_first_name": "DINO",
        "authorized_official_title_or_position": "TOWN ADMINISTRATOR",
        "authorized_official_telephone_number": "603-522-6205"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0330",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "701549",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "441590488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "7106342Y0NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80596342",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wakefield Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sanbornville, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.