Organization Active NPI

Town of Pelham

  • Land Ambulance
  • Pelham, NH
National Provider Identifier
1174500284
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF PELHAM
Doing business as
Town of Pelham Fire Department
Practice address
36 Village GRN
Pelham, NH 03076-3172
Phone
(603) 635-2703
Fax
(603) 635-6970
NPI assigned
Dec 29, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
J Midgley
Title
Chief
Phone
(603) 635-2703

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0091 NH
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

36 Village GRN
Pelham, NH 03076-3172

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other names 1

  • Town of Pelham 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
O20070814000660 NH Part B Supplier - Ambulance Service Supplier 2961593322 Practice locations: Pelham, NH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0906686Pelham Fire Department36 Village Green, Pelham, NH 03076Certificate of waiverOct 3, 2027

National Provider Directory

National Provider Directory

Locations

36 Village Grn
Pelham, NH 03076
Phone (603) 635-2703

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1174500284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 VILLAGE GRN",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763172",
            "telephone_number": "603-635-2703",
            "fax_number": "603-635-6970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PELHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-29",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "MIDGLEY",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "603-635-2703"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0091",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Pelham Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.