Active NPI
Town of Woodstock
Doing business as Woodstock Ambulance Service
- Ambulance
- Woodstock, VT
National Provider Identifier
1598711517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0909
- Legal business name
- TOWN OF WOODSTOCK
- Doing business as
- Woodstock Ambulance Service
- Practice address
- 454 Woodstock Rd
Woodstock, VT 05091-0488 - Phone
- (802) 457-7519
- Fax
- (802) 457-3237
- NPI assigned
- May 25, 2006
- Last updated
- Feb 12, 2020
- 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
- Mr. David Green
- Title
- Interim Town Manager/Fire EMS Chief
- Phone
- (802) 457-7517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0909 | VT | Primary |
Addresses
Primary practice location
454 Woodstock Rd
Woodstock, VT 05091-0488
Mailing address
PO Box 488
Woodstock, VT 05091-0488
Phone (802) 457-3456
Other names 1
- Woodstock Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100819000059 | VT | Part B Supplier - Ambulance Service Supplier | 4981738432 | Practice locations: Woodstock, VT |
National Provider Directory
National Provider DirectoryLocations
31 The Grn
Woodstock, VT 05091
454 Woodstock Rd
Woodstock, VT 05091
Phone (802) 457-2326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581465600000",
"number": "1598711517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 488",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050910488",
"telephone_number": "802-457-3456",
"fax_number": "802-457-2329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 WOODSTOCK RD",
"city": "WOODSTOCK",
"state": "VT",
"postal_code": "050910488",
"telephone_number": "802-457-7519",
"fax_number": "802-457-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF WOODSTOCK",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-25",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "INTERIM TOWN MANAGER/FIRE EMS CHIEF",
"authorized_official_telephone_number": "802-457-7517",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VT",
"license": "0909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Woodstock Ambulance Service",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Woodstock Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Woodstock, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.