Organization Active NPI

City of Concord

  • Ambulance
  • Concord, NH
National Provider Identifier
1740298660
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0024 Issued in NH
Legal business name
CITY OF CONCORD
Practice address
24 Horseshoe Pond Lane
Concord, NH 03301
Phone
(603) 225-8650
Fax
(603) 225-5833
NPI assigned
Aug 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
John Alexander Chisholm
Title
Fire Chief
Phone
(603) 225-8650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0024 NH Primary

Addresses

Primary practice location

24 Horseshoe Pond Lane
Concord, NH 03301

Mailing address

24 Horseshoe Pond LN
Concord, NH 03301-5028
Phone (603) 225-8650

Other identifiers 2

IdentifierTypeStateIssuer
80006255MedicaidNH
7106255YONH01OtherANTHEM

Other names 1

  • Concord Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000099 NH Part B Supplier - Ambulance Service Supplier 7012182983 Practice locations: Concord, NH

National Provider Directory

National Provider Directory

Locations

41 Green St
Concord, NH 03301

127 Loudon Rd
Concord, NH 03301
Phone (603) 225-8650

46 Village St
Concord, NH 03303
Phone (603) 225-8650

15 Broadway
Concord, NH 03301
Phone (603) 225-8650

24 Horseshoe Pond Ln
Concord, NH 03301
Phone (603) 225-8650

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1740298660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HORSESHOE POND LN",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033015028",
            "telephone_number": "603-225-8650",
            "fax_number": "036-225-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 HORSESHOE POND LANE",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "603-225-8650",
            "fax_number": "603-225-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CONCORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "603-225-8650"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80006255",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "7106255YONH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concord Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.