Active NPI
Town of Londonderry
- Ambulance
- Londonderry, NH
National Provider Identifier
1255314753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0148
- Legal business name
- TOWN OF LONDONDERRY
- Practice address
- 280 Mammoth Rd
Londonderry, NH 03053-3003 - Phone
- (603) 432-1124
- NPI assigned
- Nov 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Maccaffrie
- Title
- Fire Chief
- Phone
- (603) 432-1124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0148 | NH | Primary |
Addresses
Primary practice location
280 Mammoth Rd
Londonderry, NH 03053-3003
Mailing address
9 Main St
Suite 2K
Sutton, MA 01590-1660
Phone (508) 476-9740
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22796 | Other | MATTHEW THORNTON | |
| 803919 | Other | TUFTS HEALTH PLAN | |
| 100359 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0009800 | Other | NEIGHBORHOOD HEALTH | |
| 590012561 | Other | RR MEDICARE | |
| 101246000 | Other | US DEPARTMENT OF LABOR | |
| 30009454 | Medicaid | NH | |
| 702771 | Other | HARVARD PILGRIM | |
| 7104140Y0NH01 | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081007000190 | NH | Part B Supplier - Ambulance Service Supplier | 0941378723 | Practice locations: Londonderry, NH |
National Provider Directory
National Provider DirectoryLocations
280 Mammoth Rd
Londonderry, NH 03053
Phone (603) 432-1124
268 Mammoth Rd
Londonderry, NH 03053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1255314753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 MAIN ST",
"address_2": "SUITE 2K",
"city": "SUTTON",
"state": "MA",
"postal_code": "015901660",
"telephone_number": "508-476-9740",
"fax_number": "508-476-9748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "280 MAMMOTH RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533003",
"telephone_number": "603-432-1124"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF LONDONDERRY",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "MACCAFFRIE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "603-432-1124"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NH",
"license": "0148",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MATTHEW THORNTON",
"identifier": "22796",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "803919",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "100359",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0009800",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590012561",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPARTMENT OF LABOR",
"identifier": "101246000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30009454",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "702771",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "7104140Y0NH01",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; 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.