Active NPI
Brandon Area Rescue Squad, Inc
- Ambulance
- Brandon, VT
National Provider Identifier
1609849686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1002
- Legal business name
- BRANDON AREA RESCUE SQUAD, INC
- Practice address
- 1338 Franklin St
Brandon, VT 05733-4409 - Phone
- (802) 247-3231
- Fax
- (802) 247-3916
- NPI assigned
- Feb 9, 2006
- 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
- Mrs. Erin Kilpeck
- Title
- President
- Phone
- (802) 247-3231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1002 | VT | Primary |
Addresses
Primary practice location
1338 Franklin St
Brandon, VT 05733-4409
Mailing address
PO Box 232
Brandon, VT 05733-0232
Phone (802) 247-3231
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0AM0010 | Medicaid | VT |
Other names 1
- Brandon Area Rescue Squad, Inc
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071221000283 | VT | Part B Supplier - Ambulance Service Supplier | 8426148875 | Practice locations: Brandon, VT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D1106833 | Brandon Area Rescue Squad | Certificate of waiver | Oct 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
58 Franklin St
Brandon, VT 05733
Phone (802) 247-3231
1338 Franklin St
Brandon, VT 05733
Phone (802) 247-3231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1609849686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232",
"city": "BRANDON",
"state": "VT",
"postal_code": "057330232",
"telephone_number": "802-247-3231",
"fax_number": "802-247-3916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1338 FRANKLIN ST",
"city": "BRANDON",
"state": "VT",
"postal_code": "057334409",
"telephone_number": "802-247-3231",
"fax_number": "802-247-3916"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDON AREA RESCUE SQUAD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "KILPECK",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "802-247-3231",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VT",
"license": "1002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0AM0010",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Brandon Area Rescue Squad, Inc",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brandon, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.