Active NPI
Town of Williston
Doing business as Williston Fire Department
- Ambulance
- Williston, VT
National Provider Identifier
1760793541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0331
- 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, 2010
- 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
- Kenneth N Morton Jr.
- Title
- Chief
- Phone
- (802) 878-5622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101112000014 | VT | Part B Supplier - Ambulance Service Supplier | 9133314420 | Practice locations: Williston, VT |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 47D2005264 | Williston Fire Department | Certificate of waiver | Mar 23, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.