Organization Active NPI

Town of Woodstock

Doing business as Woodstock Ambulance Service

  • Ambulance
  • Woodstock, VT
National Provider Identifier
1598711517
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0909 Issued in VT
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100819000059 VT Part B Supplier - Ambulance Service Supplier 4981738432 Practice locations: Woodstock, VT

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.