Active NPI
Lamoille Ambulance Service,Inc.
- Ambulance
- Johnson, VT
National Provider Identifier
1437188398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- LAMOILLE AMBULANCE SERVICE,INC.
- Practice address
- 93 Lower Main West
Johnson, VT 05656-0352 - Phone
- (802) 635-7724
- Fax
- (802) 635-2050
- NPI assigned
- Jul 2, 2006
- Last updated
- Aug 22, 2020
- 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
- Kerri Ohalloran
- Title
- Compliance Officer
- Phone
- (802) 635-7724
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
93 Lower Main West
Johnson, VT 05656-0352
Mailing address
PO Box 352
Johnson, VT 05656-0352
Phone (802) 635-7724
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01347442 | Medicaid | NY | |
| 0006452 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, VT
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060509000418 | NY | Part B Supplier - Ambulance Service Supplier | 0345251005 | Practice locations: Ticonderoga, NY |
| O20070718000069 | VT | Part B Supplier - Ambulance Service Supplier | 0345251005 | Practice locations: Johnson, VT; Williston, VT |
National Provider Directory
National Provider DirectoryLocations
454 Shunpike Rd
Williston, VT 05495
Phone (802) 860-1532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1437188398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 352",
"city": "JOHNSON",
"state": "VT",
"postal_code": "056560352",
"telephone_number": "802-635-7724",
"fax_number": "802-635-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 LOWER MAIN WEST",
"city": "JOHNSON",
"state": "VT",
"postal_code": "056560352",
"telephone_number": "802-635-7724",
"fax_number": "802-635-2050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAMOILLE AMBULANCE SERVICE,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OHALLORAN",
"authorized_official_first_name": "KERRI",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "802-635-7724"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01347442",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006452",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson, 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.