Organization Active NPI

Wyman Way Cooperative, Inc

  • Non-emergency Medical Transport (VAN)
  • Keene, NH
National Provider Identifier
1497884092
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WYMAN WAY COOPERATIVE, INC
Practice address
90 Victoria St
Keene, NH 03431-4212
Phone
(603) 357-2801
Fax
(603) 352-3431
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen A Fortier, CPA
Title
Comptroller
Phone
(603) 283-1657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

90 Victoria St
Keene, NH 03431-4212

Mailing address

90 Victoria St
Keene, NH 03431-4212
Phone (603) 357-2801

Other identifiers 1

IdentifierTypeStateIssuer
30824305MedicaidNH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497884092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 VICTORIA ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314212",
            "telephone_number": "603-357-2801",
            "fax_number": "603-352-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 VICTORIA ST",
            "city": "KEENE",
            "state": "NH",
            "postal_code": "034314212",
            "telephone_number": "603-357-2801",
            "fax_number": "603-352-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYMAN WAY COOPERATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORTIER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "603-283-1657",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30824305",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Keene, NH

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.