Active NPI
Webster Mills Ambulance LLC
- Ambulance
- Concord, NH
National Provider Identifier
1467118455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- WEBSTER MILLS AMBULANCE LLC
- Practice address
- 90 Airport Rd
Concord, NH 03301-5326 - Phone
- (603) 290-4002
- NPI assigned
- Nov 13, 2021
- 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
- Christopher Madsen, NRP
- Title
- Owner/Paramedic
- Phone
- (603) 290-4002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
90 Airport Rd
Concord, NH 03301-5326
Mailing address
140 Webster Mills Rd
Pittsfield, NH 03263-3915
Phone (603) 290-4002
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T300829465 | Other | MEDICARE | |
| 3133078 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220209001671 | NH | Part B Supplier - Ambulance Service Supplier | 5597158881 | Practice locations: Concord, NH; Pittsfield, NH |
National Provider Directory
National Provider DirectoryLocations
90 Airport Rd
Concord, NH 03301
Phone (603) 290-4002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1467118455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 WEBSTER MILLS RD",
"city": "PITTSFIELD",
"state": "NH",
"postal_code": "032633915",
"telephone_number": "603-290-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 AIRPORT RD",
"city": "CONCORD",
"state": "NH",
"postal_code": "033015326",
"telephone_number": "603-290-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER MILLS AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-13",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "MADSEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "OWNER/PARAMEDIC",
"authorized_official_telephone_number": "603-290-4002",
"authorized_official_credential": "NRP"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "T300829465",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3133078",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2022; 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.