Organization Active NPI

Town of Carroll

Doing business as Twin Mountain Fire Rescue

  • Land Ambulance
  • Twin Mountain, NH
National Provider Identifier
1154396406
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
30851814MedicaidNH
71Y002254NH01OtherANTHEM BCBS
Z34827OtherMABLUE CROSS BLUE SHIELD
702524OtherHARVARD PILGRIM
710580900OtherNHDOL - FECA/ BL/ ENERGY
590014897OtherRR MEDICARE
804220OtherTUFTS HEALTH PLAN

Other names 1

  • Twin Mountain Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070814000657 NH Part B Supplier - Ambulance Service Supplier 9234220690 Practice locations: Carroll, NH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.