Organization Active NPI

Town of Newport

  • Land Ambulance
  • Newport, NH
National Provider Identifier
1215930680
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0084 Issued in NH
Legal business name
TOWN OF NEWPORT
Practice address
15 Sunapee St
Newport, NH 03773-1462
Phone
(603) 863-1877
Fax
(603) 863-8008
NPI assigned
May 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Joanne Dufour
Title
Cac, Executive Assistant
Phone
(603) 863-1877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0084 NH Primary

Addresses

Primary practice location

15 Sunapee St
Newport, NH 03773-1462

Mailing address

15 Sunapee St
Newport, NH 03773-1462
Phone (603) 863-1877

Other names 1

  • dba Newport Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000374 NH Part B Supplier - Ambulance Service Supplier 7810025160 Practice locations: Newport, NH

National Provider Directory

National Provider Directory

Locations

15 Sunapee St
Newport, NH 03773
Phone (603) 863-1360

11 Sunapee St
Newport, NH 03773
Phone (603) 863-1877

NPI Registry JSON

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1215930680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SUNAPEE ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731462",
            "telephone_number": "603-863-1877",
            "fax_number": "603-863-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SUNAPEE ST",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037731462",
            "telephone_number": "603-863-1877",
            "fax_number": "603-863-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF NEWPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-31",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "DUFOUR",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "CAC, EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "603-863-1877"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Newport Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.