Organization Active NPI

Town of Greenland, NH

  • Ambulance
  • Greenland, NH
National Provider Identifier
1598756330
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0044 Issued in NH
Legal business name
TOWN OF GREENLAND, NH
Practice address
575 Portsmouth Ave
Greenland, NH 03840-2251
Phone
(603) 436-1188
NPI assigned
Nov 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Mo Sodini
Title
EMS Coordinator
Phone
(603) 436-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0044 NH Primary

Addresses

Primary practice location

575 Portsmouth Ave
Greenland, NH 03840-2251

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other identifiers 2

IdentifierTypeStateIssuer
71Y007335NH01OtherANTHEM BCBS
30822770MedicaidNH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040610000061 NH Part B Supplier - Ambulance Service Supplier 4385627462 Practice locations: Greenland, NH

National Provider Directory

National Provider Directory

Locations

575 Portsmouth Ave
Greenland, NH 03840
Phone (603) 422-8208

11 Town Sq
Greenland, NH 03840
Phone (603) 436-1188

NPI Registry JSON

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1598756330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 PORTSMOUTH AVE",
            "city": "GREENLAND",
            "state": "NH",
            "postal_code": "038402251",
            "telephone_number": "603-436-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GREENLAND, NH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-01",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "SODINI",
        "authorized_official_first_name": "MO",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "603-436-1188"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "71Y007335NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30822770",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.