Organization Active NPI

Town of Windsor

  • Land Ambulance
  • Windsor, VT
National Provider Identifier
1346221454
Registry record updated Aug 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0908 Issued in VT
Legal business name
TOWN OF WINDSOR
Practice address
29 Union St
Windsor, VT 05089-1503
Phone
(802) 674-9043
Fax
(802) 674-9037
NPI assigned
Nov 7, 2005
Last updated
Aug 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2016

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

Authorized official

Name
Ms. Malisa Mae Williams
Title
Administrative Assistant
Phone
(802) 674-9539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0908 VT Primary

Addresses

Primary practice location

29 Union St
Windsor, VT 05089-1503

Mailing address

29 Union Street
Windsor, VT 05089
Phone (802) 674-9539

Other identifiers 1

IdentifierTypeStateIssuer
0006438MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000876 VT Part B Supplier - Ambulance Service Supplier 7618078932 Practice locations: Windsor, VT

National Provider Directory

National Provider Directory

Locations

29 Union St
Windsor, VT 05089
Phone (802) 674-9043

NPI Registry JSON

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1346221454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 UNION STREET",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "05089",
            "telephone_number": "802-674-9539",
            "fax_number": "802-674-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 UNION ST",
            "city": "WINDSOR",
            "state": "VT",
            "postal_code": "050891503",
            "telephone_number": "802-674-9043",
            "fax_number": "802-674-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WINDSOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-07",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MALISA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "802-674-9539",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006438",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.