Town of Bristol

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0014 Issued in NH

Legal business name

TOWN OF BRISTOL

Doing business as

Town of Bristol Fire Department

Practice address

230 Lake St
Bristol, NH 03222-3572

Phone

(603) 744-3354

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Steve Yannuzzi

Title

Chief

Phone

(603) 744-2632

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Town of Bristol Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1205821204",
    "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": "230 LAKE ST",
            "city": "BRISTOL",
            "state": "NH",
            "postal_code": "032223572",
            "telephone_number": "603-744-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BRISTOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "YANNUZZI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "603-744-2632"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "7106270Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49006270",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590009688",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "688316",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "606172",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Bristol Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Bristol, NH
• Providers in Bristol, 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 Oct 4, 2013; 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.