Active NPI
Town of Stowe
- Land Ambulance
- Stowe, VT
National Provider Identifier
1457333288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0405
- 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, 2008
- 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
- Richard L Delier
- Title
- EMS Director
- Phone
- (802) 253-9060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28606 | Other | VT | 28606 |
| OVN1218 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000528 | VT | Part B Supplier - Ambulance Service Supplier | 9234209560 | Practice locations: Stowe, VT |
National Provider Directory
National Provider DirectoryLocations
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.