Organization Active NPI

Arlington Rescue Squad Inc.

  • Land Ambulance
  • Arlington, VT
National Provider Identifier
1417023532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1201 Issued in VT
Legal business name
ARLINGTON RESCUE SQUAD INC.
Practice address
66 Chittenden Dr.
Arlington, VT 05250
Phone
(802) 375-6589
Fax
(802) 375-2716
NPI assigned
Nov 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph T Roberts, EMT-I
Title
Billing Coordinator
Phone
(802) 375-6589

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1201 VT Primary

Addresses

Primary practice location

66 Chittenden Dr.
Arlington, VT 05250

Mailing address

66 Chittenden Dr.
Arlington, VT 05250
Phone (802) 375-6589

Other identifiers 2

IdentifierTypeStateIssuer
0AM0007MedicaidVT
6417OtherVTBCBS OF VT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130930000387 VT Part B Supplier - Ambulance Service Supplier 7113151481 Practice locations: Arlington, VT

National Provider Directory

National Provider Directory

Locations

66 Chittenden Dr
Arlington, VT 05250
Phone (802) 375-6589

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417023532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CHITTENDEN DR.",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "05250",
            "telephone_number": "802-375-6589",
            "fax_number": "802-375-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CHITTENDEN DR.",
            "city": "ARLINGTON",
            "state": "VT",
            "postal_code": "05250",
            "telephone_number": "802-375-6589",
            "fax_number": "802-375-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON RESCUE SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLING COORDINATOR",
        "authorized_official_telephone_number": "802-375-6589",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-I"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "1201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0007",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF VT",
            "identifier": "6417",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.