Active NPI
Town of Wilton
- Ambulance
- Wilton, NH
National Provider Identifier
1275861643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0121
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00978698 | Other | NH | RR MEDICARE |
| 001473901 | Other | NH | NH MEDICARE |
| 3070917 | Medicaid | NH |
Other names 1
- Wilton Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100301000259 | NH | Part B Supplier - Ambulance Service Supplier | 4688719776 | Practice locations: Wilton, NH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D2116722 | Town of Wilton Ambulance | Certificate of waiver | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.