Organization Active NPI

Town of Ashland

  • Land Ambulance
  • Ashland, NH
National Provider Identifier
1750383121
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0158 Issued in NH
Legal business name
TOWN OF ASHLAND
Practice address
9 S Main St
Ashland, NH 03217
Phone
(603) 968-7772
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Authorized official

Name
Robert J Bousquet
Title
Deputy Fire Chief
Phone
(570) 271-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0158 NH Primary

Addresses

Primary practice location

9 S Main St
Ashland, NH 03217

Mailing address

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

Other identifiers 6

IdentifierTypeStateIssuer
704946OtherNHHARVARD PILGRIM
30821083MedicaidNH
806896OtherNHTUFTS HEALTH PLAN
1720261MedicaidMA
71Y004976NH01OtherNHANTHEM BLUE CROSS
T300457097OtherNHNH MEDICARE

Other names 1

  • Ashland 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
O20040811001261 NH Part B Supplier - Ambulance Service Supplier 2769454479 Practice locations: Ashland, NH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
30D0967894Ashland Fire Department9 Main Street, Ashland, NH 03217Certificate of waiverNov 28, 2027

National Provider Directory

National Provider Directory

Locations

9 Main St
Ashland, NH 03217
Phone (603) 968-7772

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530576000000",
    "number": "1750383121",
    "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",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 S MAIN ST",
            "city": "ASHLAND",
            "state": "NH",
            "postal_code": "03217",
            "telephone_number": "603-968-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ASHLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2018-07-03",
        "status": "A",
        "authorized_official_last_name": "BOUSQUET",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "570-271-1120"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "704946",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30821083",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "806896",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1720261",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "71Y004976NH01",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NH MEDICARE",
            "identifier": "T300457097",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Fire Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ashland Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.