Town of Colchester

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0303 Issued in VT

Legal business name

TOWN OF COLCHESTER

Practice address

835 Blakely Rd
Colchester, VT 05446-4417

Phone

(802) 654-0770

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan Boehm

Title

Town Administartor

Phone

(802) 654-0770

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Town of Colchester

  • Land Ambulance
  • Colchester, VT
  • NPI 1679558506

  O20060807000127

  Same enrollment

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255365029",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 BLAKELY RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054464417",
            "telephone_number": "802-654-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COLCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOEHM",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "TOWN ADMINISTARTOR",
        "authorized_official_telephone_number": "802-654-0770"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "0303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIAD",
            "identifier": "0369000434",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0064",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00038242",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah J Thompson, PA
• Jillian Thompson, CCC-SLP
• Tina Thompson
• Jaclyn Tobi
• Tracy Towers
• Town of Colchester
• Amanda Seegers Harris Townsley, MS, OTR/L
• Cuong Tran, MA, PLC
• Clifford Trott Jr., PHD
• TSS LLC (Green Mountain Nursing Home)

• Ambulance in Colchester, VT
• Providers in Colchester, VT by specialty
• Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.