Town of Kingston

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF KINGSTON

Doing business as

Kingston Fire Department

Practice address

148 Main St
Kingston, NH 03848-3222

Phone

(603) 642-3626

Fax

(603) 642-6307

NPI assigned

Nov 23, 2005

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly O'Brien

Title

Authorized Official Administration

Phone

(603) 642-3626

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Kingston Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1689657520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "KINGSTON",
            "state": "NH",
            "postal_code": "038480302",
            "telephone_number": "603-642-3626",
            "fax_number": "603-642-6307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MAIN ST",
            "city": "KINGSTON",
            "state": "NH",
            "postal_code": "038483222",
            "telephone_number": "603-642-3626",
            "fax_number": "603-642-6307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF KINGSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL ADMINISTRATION",
        "authorized_official_telephone_number": "603-642-3626"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0060",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30008909",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "701508",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "71061229Y0NH01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590010233",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "725857",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingston Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Stachowicz
• Shawn Irene Sutton, MD
• Linda Tarushka
• Michael Thacker, MMHC
• Mary Thompson, LMHC
• Ricardo Romagnoli Triani
• Kathryn Trulock, MS CCC-SLP

• Land Ambulance in Kingston, NH
• Providers in Kingston, NH by specialty
• Land Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.