Active NPI
Town of Carroll
Doing business as Twin Mountain Fire Rescue
- Land Ambulance
- Twin Mountain, NH
National Provider Identifier
1154396406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF CARROLL
- Doing business as
- Twin Mountain Fire Rescue
- Practice address
- 100 School Street
Twin Mountain, NH 03595 - Phone
- (603) 846-5545
- NPI assigned
- Feb 21, 2006
- Last updated
- Mar 19, 2021
- 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
- Jeremy Oleson
- Title
- Chief
- Phone
- (603) 846-5545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
100 School Street
Twin Mountain, NH 03595
Mailing address
PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30851814 | Medicaid | NH | |
| 71Y002254NH01 | Other | ANTHEM BCBS | |
| Z34827 | Other | MA | BLUE CROSS BLUE SHIELD |
| 702524 | Other | HARVARD PILGRIM | |
| 710580900 | Other | NH | DOL - FECA/ BL/ ENERGY |
| 590014897 | Other | RR MEDICARE | |
| 804220 | Other | TUFTS HEALTH PLAN |
Other names 1
- Twin Mountain Fire Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070814000657 | NH | Part B Supplier - Ambulance Service Supplier | 9234220690 | Practice locations: Carroll, NH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1616112000000",
"number": "1154396406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9150",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420029150",
"telephone_number": "270-744-9600",
"fax_number": "270-744-8642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SCHOOL STREET",
"city": "TWIN MOUNTAIN",
"state": "NH",
"postal_code": "03595",
"telephone_number": "603-846-5545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CARROLL",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-21",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A",
"authorized_official_last_name": "OLESON",
"authorized_official_first_name": "JEREMY",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "603-846-5545"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30851814",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "71Y002254NH01",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z34827",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "702524",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL - FECA/ BL/ ENERGY",
"identifier": "710580900",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590014897",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "804220",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Twin Mountain Fire Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Twin Mountain, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; 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.