Organization Active NPI

University of Vermont and State Agricultural College

  • Land Ambulance
  • Burlington, VT
National Provider Identifier
1679552723
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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 COLLEGEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
University of VT and State6 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.