Town of Richford
Organization Active NPI Ambulance · Richford, VT
NPI 1215979653 · NPPES record last updated Oct 22, 2020
Key facts
- NPI
- 1215979653
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- TOWN OF RICHFORD
- Practice address
- 48 Main St
Richford Ambulance Service
Richford, VT 05476 - Phone
- (802) 848-7751
- Fax
- (802) 848-7752
- NPI assigned
- Jun 11, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- TOWN OF RICHFORD
Authorized official
- Name
- Kiley Deuso
- Title
- Town Clerk/Treasurer
- Phone
- (802) 848-7751
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D2003268 | Richford Ambulance Service | Certificate of waiver | Feb 3, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110818000914 | VT | Part B Supplier - Ambulance Service Supplier | 9032389556 | Practice locations: Richford, VT |
National Provider Directory
- Part of
- Town of Richford
Locations
48 Main St
Richford, VT 05476
Phone (802) 255-5584
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Yes | ||
| Land Ambulance | 3416L0300X |
Addresses
Primary practice location
48 Main St
Richford Ambulance Service
Richford, VT 05476
Mailing address
PO Box 236
Richford Ambulance Service
Richford, VT 05476
Phone (802) 848-7751
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006428 | Medicaid | VT | |
| 590092212 | Other | VT | MEDICARE RAILROAD |
| 6428 | Other | VT | BLUE CROSS BLUE SHIRLD |
Other names
- Richford Ambulance Service
Other providers in Richford, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.