Active NPI
City of Concord
- Ambulance
- Concord, NH
National Provider Identifier
1740298660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0024
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80006255 | Medicaid | NH | |
| 7106255YONH01 | Other | ANTHEM |
Other names 1
- Concord Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111206000099 | NH | Part B Supplier - Ambulance Service Supplier | 7012182983 | Practice locations: Concord, NH |
National Provider Directory
National Provider DirectoryLocations
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.