Organization Active NPI

City of Barre

  • Land Ambulance
  • Barre, VT
National Provider Identifier
1457488660
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0616 Issued in VT
Legal business name
CITY OF BARRE
Practice address
15 4TH St
Suite 1
Barre, VT 05641-4476
Phone
(802) 476-0254
Fax
(802) 476-0270
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Timothy Bombardier
Title
Fire Chief
Phone
(802) 476-0255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0616 VT Primary

Addresses

Primary practice location

15 4TH St
Suite 1
Barre, VT 05641-4476

Mailing address

PO Box 418
Barre, VT 05641-0418
Phone (802) 476-0255

Other identifiers 1

IdentifierTypeStateIssuer
0009455MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100511000583 VT Part B Supplier - Ambulance Service Supplier 9133265309 Practice locations: Barre, VT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D1106160City of Barre Fire & Ambulance15 Fourth St, Ste 1, Barre, VT 05641Certificate of waiverOct 6, 2027

National Provider Directory

National Provider Directory

Locations

6 N Main St
Barre, VT 05641
Phone (802) 477-1488

15 Fourth St
#1
Barre, VT 05641
Phone (802) 476-0254

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1457488660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056410418",
            "telephone_number": "802-476-0255",
            "fax_number": "802-476-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 4TH ST",
            "address_2": "SUITE 1",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414476",
            "telephone_number": "802-476-0254",
            "fax_number": "802-476-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BARRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "BOMBARDIER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "802-476-0255"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0009455",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barre, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.