Organization Active NPI

Town of Wilton

  • Ambulance
  • Wilton, NH
National Provider Identifier
1275861643
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0121 Issued in NH
Legal business name
TOWN OF WILTON
Doing business as
Wilton Ambulance
Practice address
404 Forest Rd
Wilton, NH 03086
Phone
(603) 654-2222
Fax
(603) 654-3307
NPI assigned
Nov 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Kelli Sue Boissonault
Title
Chairperson
Phone
(570) 271-1120

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0121 NH Primary
Land Ambulance 3416L0300X 0121 NH

Addresses

Primary practice location

404 Forest Rd
Wilton, NH 03086

Mailing address

70 Main St Unit 200
Peterborough, NH 03458-2467
Phone (603) 924-7797

Other identifiers 3

IdentifierTypeStateIssuer
P00978698OtherNHRR MEDICARE
001473901OtherNHNH MEDICARE
3070917MedicaidNH

Other names 1

  • Wilton Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100301000259 NH Part B Supplier - Ambulance Service Supplier 4688719776 Practice locations: Wilton, NH

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
30D2116722Town of Wilton Ambulance404 Forest Rd, Wilton, NH 03086Certificate of waiverJul 31, 2026

National Provider Directory

National Provider Directory

Locations

404 Forest Rd
Wilton, NH 03086
Phone (603) 254-2222

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1275861643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MAIN ST UNIT 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034582467",
            "telephone_number": "603-924-7797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 FOREST RD",
            "city": "WILTON",
            "state": "NH",
            "postal_code": "03086",
            "telephone_number": "603-654-2222",
            "fax_number": "603-654-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WILTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "BOISSONAULT",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "CHAIRPERSON",
        "authorized_official_telephone_number": "570-271-1120"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0121",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0121",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00978698",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICARE",
            "identifier": "001473901",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3070917",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wilton Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wilton Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.