Active NPI
Community Ambulance Service
- Land Ambulance
- Ludlow, VT
National Provider Identifier
1811002702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1111
- Legal business name
- COMMUNITY AMBULANCE SERVICE
- Practice address
- 19 W Hill Rd
Ludlow, VT 05149-1024 - Phone
- (802) 228-2880
- Fax
- (802) 228-7996
- NPI assigned
- Aug 20, 2006
- Last updated
- Jan 6, 2020
- 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
- Scott Murphy
- Title
- Municiple Manager
- Phone
- (802) 228-2841
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | |||
| Land Ambulance | 3416L0300X | 1111 | VT | Primary |
Addresses
Primary practice location
19 W Hill Rd
Ludlow, VT 05149-1024
Mailing address
PO Box 359
Ludlow, VT 05149-0359
Phone (802) 228-2641
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6426 | Other | VT | BCBS PROVIDER NUMBER |
| 0006426 | Medicaid | VT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070730000872 | VT | Part B Supplier - Ambulance Service Supplier | 4981705209 | Practice locations: Ludlow, 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 |
|---|---|---|---|
| 47D2001387 | Community Ambulance Service | Certificate of waiver | Dec 17, 2027 |
National Provider Directory
National Provider DirectoryLocations
19 W Hill Rd
Ludlow, VT 05149
Phone (802) 228-2880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578268800000",
"number": "1811002702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "LUDLOW",
"state": "VT",
"postal_code": "051490359",
"telephone_number": "802-228-2641",
"fax_number": "880-222-8281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 W HILL RD",
"city": "LUDLOW",
"state": "VT",
"postal_code": "051491024",
"telephone_number": "802-228-2880",
"fax_number": "802-228-7996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-20",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A",
"authorized_official_last_name": "MURPHY",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "MUNICIPLE MANAGER",
"authorized_official_telephone_number": "802-228-2841"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VT",
"license": "1111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "6426",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006426",
"state": "VT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ludlow, VT
- Attuned Eating and Living Center, LLC (Green Mountain at Fox Run Women's Center for Binge & Emotional Eating)
- Rhonda Sue Bates, PTA/COTA
- Patricia L Brown, NP
- John E Cassidy, PAC
- Susan Cole
- Susan Hart Davis, MS CCC SLP
- Courtney Marie Gandee, PMHNP-BC
- Andrea Garcia, RN
- Graybeard LLC (Amramp VT & Western MA)
- Gordon Holahan, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.