Organization Active NPI

Town of Loudon Selectmens Office

  • Ambulance
  • Loudon, NH
National Provider Identifier
1598871907
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0179 Issued in NH
Legal business name
TOWN OF LOUDON SELECTMENS OFFICE
Doing business as
Loudon Fire Department
Practice address
8 Cooper St
Loudon, NH 03307
Phone
(603) 798-5612
Fax
(603) 798-5628
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Authorized official

Name
Mr. Thomas Wayne Blanchette
Title
Fire Chief
Phone
(603) 798-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0179 NH Primary

Addresses

Primary practice location

8 Cooper St
Loudon, NH 03307

Mailing address

55 South Village Road Suite #5
Loudon, NH 03307
Phone (603) 798-5612

Other identifiers 2

IdentifierTypeStateIssuer
30010474MedicaidNH
7107829Y0NH01OtherBCBS

Other names 1

  • Loudon Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000198 NH Part B Supplier - Ambulance Service Supplier 8224297809 Practice locations: Loudon, NH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D2115827Loudon Fire Department8 Cooper St, Loudon, NH 03307Certificate of waiverJul 13, 2028

National Provider Directory

National Provider Directory

Locations

55 S Village Rd
Ste 5
Loudon, NH 03307

29 S Village Rd
Loudon, NH 03307

8 Cooper St
Loudon, NH 03307
Phone (603) 798-5612

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563235200000",
    "number": "1598871907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SOUTH VILLAGE ROAD SUITE #5",
            "city": "LOUDON",
            "state": "NH",
            "postal_code": "03307",
            "telephone_number": "603-798-5612",
            "fax_number": "603-798-5628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 COOPER ST",
            "city": "LOUDON",
            "state": "NH",
            "postal_code": "03307",
            "telephone_number": "603-798-5612",
            "fax_number": "603-798-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LOUDON SELECTMENS OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-07-16",
        "status": "A",
        "authorized_official_last_name": "BLANCHETTE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "603-798-5612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010474",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7107829Y0NH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loudon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Loudon Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Loudon, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.