First Branch Ambulance Service Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0805 Issued in VT

Legal business name

FIRST BRANCH AMBULANCE SERVICE INC.

Practice address

324 VT RT 110
Chelsea, VT 05038

Phone

(802) 685-3112

NPI assigned

Dec 4, 2006

Last updated

May 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jackie M. Higgins

Title

Accounts Manager

Phone

(802) 889-9800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1548338866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "CHELSEA",
            "state": "VT",
            "postal_code": "050380074",
            "telephone_number": "802-889-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 VT RT 110",
            "city": "CHELSEA",
            "state": "VT",
            "postal_code": "05038",
            "telephone_number": "802-685-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BRANCH AMBULANCE SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "HIGGINS",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "802-889-9800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS VT",
            "identifier": "6481",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6481",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brookhaven Treatment and Learning Center
• Chelsea Pharmacy LLC
• Eve Desjardins
• Gifford Health Care, Inc (Chelsea Health Center)
• Andrea Herrington, MA
• Justin Jones, CPHT
• Jesse Kay, MS, RDN
• Jessica Miller, L.AC

• Land Ambulance in Chelsea, VT
• Providers in Chelsea, VT by specialty
• Land Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.