Active NPI
University of Vermont and State Agricultural College
- Land Ambulance
- Burlington, VT
National Provider Identifier
1679552723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
- Doing business as
- UVM Rescue
- Practice address
- 284 East Ave Ste 1
Burlington, VT 05405-3401 - Phone
- (802) 656-4287
- Fax
- (802) 656-9350
- NPI assigned
- Jan 16, 2006
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donna Decker
- Title
- Billing Agent
- Phone
- (802) 656-8509
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0314 | VT | |
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
284 East Ave Ste 1
Burlington, VT 05405-3401
Mailing address
425 Pearl Street
Burlington, VT 05401-3308
Phone (802) 656-8509
Other names 1
- UVM Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040706000713 | VT | Part B Supplier - Ambulance Service Supplier | 5395722557 | Practice locations: Burlington, VT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Speech-Language Pathologist
- Burlington, VT
- NPI 1932247434
5395722557
National Provider Directory
National Provider Directory- Tax ID family
- University of VT and State
- Part of
- University of VT and State
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Student Health Clinic/Center
- Burlington, VT
- NPI 1073618401
-
- Student Health Clinic/Center
- Burlington, VT
- NPI 1396959243
-
- Student Health Clinic/Center
- Burlington, VT
- NPI 1992918486
-
- Audiologist
- Burlington, VT
- NPI 1578604310
-
- Speech-Language Pathologist
- Burlington, VT
- NPI 1932247434
Locations
284 E Ave
Ste 1
Burlington, VT 05405
Phone (802) 656-4287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296172800000",
"number": "1679552723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PEARL STREET",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054013308",
"telephone_number": "802-656-8509",
"fax_number": "802-656-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "284 EAST AVE STE 1",
"city": "BURLINGTON",
"state": "VT",
"postal_code": "054053401",
"telephone_number": "802-656-4287",
"fax_number": "802-656-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF VERMONT AND STATE AGRICULTURAL COLLEGE",
"enumeration_date": "2006-01-16",
"last_updated": "2011-01-28",
"status": "A",
"authorized_official_last_name": "DECKER",
"authorized_official_first_name": "DONNA",
"authorized_official_title_or_position": "BILLING AGENT",
"authorized_official_telephone_number": "802-656-8509"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VT",
"license": "0314",
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "UVM Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burlington, VT
- Isabelle Antonia Unger, DNP, ARNP, FNP-C
- Paul Stephen Unger, M.D.
- University of Vermont
- University of Vermont
- University of Vermont and State Agricultural College
- University of Vermont and State Agricultural College
- University of Vermont Health Network Specialty Care Transport, LLC
- University of Vermont Medical Center
- University of Vermont Medical Center Inc
- University of Vermont Medical Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.