City of Lebanon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0203 Issued in NH

Legal business name

CITY OF LEBANON

Practice address

12 S. Park Street
Lebanon, NH 03766

Phone

(603) 448-8810

NPI assigned

Dec 5, 2006

Last updated

Jul 30, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY OF LEBANONAs reported in NPPES

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

Authorized official

Name

Chris Christopoulos Jr.

Title

Fire Chief

Phone

(603) 448-8810

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Lebanon Fire Department Ambulance Other name

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

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

CLIA laboratory certificates

Part of

City of Lebanon

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406678400000",
    "number": "1174681712",
    "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": "603-448-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S. PARK STREET",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-448-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LEBANON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF LEBANON",
        "enumeration_date": "2006-12-05",
        "last_updated": "2014-07-30",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPOULOS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "603-448-8810",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0203",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30820557",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013846",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH BCBS PROVIDER #",
            "identifier": "NH00235",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0075",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VT BCBS PROVIDER #",
            "identifier": "49055",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lebanon Fire Department Ambulance",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Lebanon, NH
• Providers in Lebanon, NH by specialty
• Land Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2014; 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.