Organization Active NPI

City of Montpelier Ambulance

  • Land Ambulance
  • Montpelier, VT
National Provider Identifier
1265437586
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0606 Issued in VT
Legal business name
CITY OF MONTPELIER AMBULANCE
Practice address
61 Main St.
Montpelier, VT 05602-2950
Phone
(802) 229-4913
Fax
(802) 476-0249
NPI assigned
Jun 14, 2005
Last updated
Jun 19, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Robert Gowans
Title
Fire Chief
Phone
(802) 229-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0606 VT Primary

Addresses

Primary practice location

61 Main St.
Montpelier, VT 05602-2950

Mailing address

39 Main St
Montpelier, VT 05602-3064
Phone (802) 229-4913

Other identifiers 1

IdentifierTypeStateIssuer
0006424MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070718000523 VT Part B Supplier - Ambulance Service Supplier 9032210265 Practice locations: Montpelier, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1106835City of Montpelier61 Main St, Montpelier, VT 05602Certificate of waiverFeb 20, 2027

National Provider Directory

National Provider Directory

Locations

39 Main St
Montpelier, VT 05602

61 Main St
Montpelier, VT 05602
Phone (802) 229-4913

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1265437586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 MAIN ST",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056023064",
            "telephone_number": "802-229-4913",
            "fax_number": "802-476-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 MAIN ST.",
            "city": "MONTPELIER",
            "state": "VT",
            "postal_code": "056022950",
            "telephone_number": "802-229-4913",
            "fax_number": "802-476-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTPELIER AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "GOWANS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "802-229-4913"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006424",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montpelier, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.