Organization Active NPI

Alburg Volunteer Fire Department, Inc.

  • Land Ambulance
  • Alburg, VT
National Provider Identifier
1407832819
Registry record updated Dec 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0101 Issued in VT
Legal business name
ALBURG VOLUNTEER FIRE DEPARTMENT, INC.
Practice address
60 Firehouse Rd
Alburg, VT 05440-4403
Phone
(802) 338-7482
Fax
(802) 796-3162
NPI assigned
Dec 16, 2005
Last updated
Dec 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2016

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

Authorized official

Name
Mr. Tyler James Gotshall
Title
Fire Chief
Phone
(802) 338-7482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0101 VT Primary

Addresses

Primary practice location

60 Firehouse Rd
Alburg, VT 05440-4403

Mailing address

60 Firehouse Rd
Alburgh, VT 05440-4403
Phone (802) 796-3402

Other identifiers 2

IdentifierTypeStateIssuer
ALBU29430OtherVTBLUE CROSS
OVN1520MedicaidVT

Other names 1

  • ALBURG RESCUE Other name

National Provider Directory

National Provider Directory

Locations

1 N Main St
Alburg, VT 05440
Phone (802) 796-3402

4 Firehouse Rd
Alburg, VT 05440
Phone (802) 796-3468

60 Firehouse Rd
Alburgh, VT 05440
Phone (802) 338-7482

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482710400000",
    "number": "1407832819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FIREHOUSE RD",
            "city": "ALBURGH",
            "state": "VT",
            "postal_code": "054404403",
            "telephone_number": "802-796-3402",
            "fax_number": "802-796-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FIREHOUSE RD",
            "city": "ALBURG",
            "state": "VT",
            "postal_code": "054404403",
            "telephone_number": "802-338-7482",
            "fax_number": "802-796-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBURG VOLUNTEER FIRE DEPARTMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-12-26",
        "status": "A",
        "authorized_official_last_name": "GOTSHALL",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "802-338-7482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ALBU29430",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1520",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBURG RESCUE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alburg, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.