Saint Michaels College Fire and Rescue Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0312 Issued in VT

Legal business name

SAINT MICHAELS COLLEGE FIRE AND RESCUE INC

Practice address

230 College Pkwy
Colchester, VT 05446-3050

Phone

(802) 654-2374

Fax

(802) 654-2711

NPI assigned

Nov 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Peter D Soons

Title

Chief

Phone

(502) 654-2374

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• St Michaels Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Claire Masson, NP

  • Primary Care Nurse Practitioner
  • Colchester, VT
  • NPI 1669614368
  NPD (past)

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1740263185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SMC BOX 280",
            "address_2": "1 WINOOSKI PARK",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054390001",
            "telephone_number": "802-654-2374",
            "fax_number": "802-654-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COLLEGE PKWY",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054463050",
            "telephone_number": "802-654-2374",
            "fax_number": "802-654-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MICHAELS COLLEGE FIRE AND RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "SOONS",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "502-654-2374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6453",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Michaels Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Jay Rubin, PT
• Joshua Rudman, PT
• Paula J Rupp, PT
• Claudia Russell
• Leanne Saddlemire, MS, CCC-SLP
• Dennis Allen Sanders, M.D.
• Hillary Santos
• Sarah Farrell, LLC
• Greer Sargeant
• Michael Sargent, M.D.

• All providers in Colchester, VT
• Land Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.