Organization Active NPI

City of Burlington Vermont

  • Land Ambulance
  • Burlington, VT
National Provider Identifier
1306870381
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0301 Issued in VT
Legal business name
CITY OF BURLINGTON VERMONT
Doing business as
Burlington Fire Department Ambulance
Practice address
136 S Winooski Ave
Burlington, VT 05401-8313
Phone
(802) 658-9423
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Steven Locke, CFO,EFO
Title
Chief Engineer
Phone
(802) 864-4553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0301 VT Primary

Addresses

Primary practice location

136 S Winooski Ave
Burlington, VT 05401-8313

Mailing address

136 S Winooski Ave
Burlington, VT 05401-8313
Phone (802) 864-4554

Other identifiers 3

IdentifierTypeStateIssuer
441590169OtherVTRAILROAD MEDICARE
329655OtherVTMVP HEALTHCARE
0006398MedicaidVT

Other names 1

  • Burlington Fire Department Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080911000267 VT Part B Supplier - Ambulance Service Supplier 0749356954 Practice locations: Burlington, 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
47D1008292Burlington Fire Department136 South Winooski Ave, Burlington, VT 05401Certificate of waiverJan 15, 2027

National Provider Directory

National Provider Directory

Locations

136 S Winooski Ave
Burlington, VT 05401
Phone (802) 658-9423

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1306870381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018313",
            "telephone_number": "802-864-4554",
            "fax_number": "802-865-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S WINOOSKI AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054018313",
            "telephone_number": "802-658-9423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BURLINGTON VERMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "LOCKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF ENGINEER",
        "authorized_official_telephone_number": "802-864-4553",
        "authorized_official_credential": "CFO,EFO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "441590169",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "329655",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006398",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Burlington Fire Department Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.