Organization Active NPI

Town of Stowe

  • Land Ambulance
  • Stowe, VT
National Provider Identifier
1457333288
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0405 Issued in VT
Legal business name
TOWN OF STOWE
Practice address
312 S Main St
Stowe, VT 05672-4489
Phone
(802) 253-9060
Fax
(802) 253-2927
NPI assigned
Nov 17, 2005
Last updated
May 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Richard L Delier
Title
EMS Director
Phone
(802) 253-9060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0405 VT Primary

Addresses

Primary practice location

312 S Main St
Stowe, VT 05672-4489

Mailing address

PO Box 248
Stowe, VT 05672-0248
Phone (802) 253-9060

Other identifiers 2

IdentifierTypeStateIssuer
28606OtherVT28606
OVN1218MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000528 VT Part B Supplier - Ambulance Service Supplier 9234209560 Practice locations: Stowe, VT

National Provider Directory

National Provider Directory

Locations

312 S Main St
Stowe, VT 05672
Phone (802) 253-9060

350 S Main St
Stowe, VT 05672
Phone (802) 253-4315

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1457333288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056720248",
            "telephone_number": "802-253-9060",
            "fax_number": "802-253-2927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S MAIN ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724489",
            "telephone_number": "802-253-9060",
            "fax_number": "802-253-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF STOWE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "DELIER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "802-253-9060"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "28606",
            "identifier": "28606",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OVN1218",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stowe, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.