Jaffrey-Rindge Memorial Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0056 Issued in NH

Legal business name

JAFFREY-RINDGE MEMORIAL AMBULANCE INC

Practice address

119 Main St
Jaffrey, NH 03452-6140

Phone

(603) 532-6868

Fax

(603) 532-6868

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Dennis R Allen

Title

Authorized Agent

Phone

(603) 924-7797

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1790775187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PHOENIX MILL LN UNIT 200",
            "city": "PETERBOROUGH",
            "state": "NH",
            "postal_code": "034581445",
            "telephone_number": "603-924-7797",
            "fax_number": "603-822-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAIN ST",
            "city": "JAFFREY",
            "state": "NH",
            "postal_code": "034526140",
            "telephone_number": "603-532-6868",
            "fax_number": "603-532-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAFFREY-RINDGE MEMORIAL AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "603-924-7797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30822415",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00215540",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Independent Homecare LLC
• Jaffrey Eye Care
• Jaffrey Rehabilitation and Nursing Center LLC
• Jaffrey Rindge Cooperative School District
• Jaffrey-Rindge Memorial Ambulance
• Marie H Jean
• Nancy Jun, DDS
• Kimberly L Keating
• Stephen G Klonel, DO
• Susan Lee

• Ambulance in Jaffrey, NH
• Providers in Jaffrey, NH by specialty
• Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.