Organization Active NPI

Town of Amherst

  • Land Ambulance
  • Amherst, NH
National Provider Identifier
1720089832
Registry record updated Jan 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0002 Issued in NH
Legal business name
TOWN OF AMHERST
Practice address
177 Amherst St
Amherst, NH 03031-2951
Phone
(603) 673-1545
Fax
(603) 672-3927
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2020

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

Authorized official

Name
Matthew Conley
Title
Fire Chief
Phone
(603) 673-1545

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X 0002 NH Primary

Addresses

Primary practice location

177 Amherst St
Amherst, NH 03031-2951

Mailing address

8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351

Other practice location 1

175 Amherst St
Amherst, NH 03031-2951
Phone (603) 673-7030

Other identifiers 6

IdentifierTypeStateIssuer
7106258Y0NH01OtherNHMEDICOMP NH
590014356OtherNHRR MEDICARE
703957OtherNHHARVARD PILGRIM
7106258Y0NH01OtherNHANTHEM BLUE CROSS
30820319MedicaidNH
805950OtherNHTUFTS HEALTH PLAN

Other names 2

  • Amherst Fire Rescue Doing business as
  • Amherst Rescue Squad Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100624000355 NH Part B Supplier - Ambulance Service Supplier 6204967912 Practice locations: Amherst, NH

National Provider Directory

National Provider Directory

Locations

177 Amherst St
Amherst, NH 03031
Phone (603) 673-1545

175 Amherst St
Amherst, NH 03031
Phone (603) 673-7030

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580428800000",
    "number": "1720089832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 AMHERST ST",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030312951",
            "telephone_number": "603-673-1545",
            "fax_number": "603-672-3927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Amherst St",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NH",
            "postal_code": "030312951",
            "country_code": "US",
            "telephone_number": "603-673-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOWN OF AMHERST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-01-31",
        "certification_date": "2020-01-31",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "603-673-1545"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICOMP NH",
            "identifier": "7106258Y0NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590014356",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703957",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "7106258Y0NH01",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30820319",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "805950",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amherst Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amherst Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amherst, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; 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.