Organization Active NPI

Town of Williston

Doing business as Williston Fire Department

  • Ambulance
  • Williston, VT
National Provider Identifier
1760793541
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0331 Issued in VT
Legal business name
TOWN OF WILLISTON
Doing business as
Williston Fire Department
Practice address
645 Talcott Rd
Williston, VT 05495-2079
Phone
(802) 878-5622
Fax
(802) 878-0973
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Kenneth N Morton Jr.
Title
Chief
Phone
(802) 878-5622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0331 VT Primary

Addresses

Primary practice location

645 Talcott Rd
Williston, VT 05495-2079

Mailing address

645 Talcott Rd
Williston, VT 05495-2079
Phone (802) 878-5622

Other names 1

  • Williston Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101112000014 VT Part B Supplier - Ambulance Service Supplier 9133314420 Practice locations: Williston, VT

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
47D2005264Williston Fire Department645 Talcott Rd, Williston, VT 05495Certificate of waiverMar 23, 2028

National Provider Directory

National Provider Directory

Locations

645 Talcott Rd
Williston, VT 05495
Phone (802) 878-5622

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1760793541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 TALCOTT RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952079",
            "telephone_number": "802-878-5622",
            "fax_number": "802-878-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 TALCOTT RD",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "054952079",
            "telephone_number": "802-878-5622",
            "fax_number": "802-878-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WILLISTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "MORTON",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "802-878-5622",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "0331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williston Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Williston, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.