Organization Active NPI

Community Ambulance Service

  • Land Ambulance
  • Ludlow, VT
National Provider Identifier
1811002702
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1111 Issued in VT
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6426OtherVTBCBS PROVIDER NUMBER
0006426MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070730000872 VT Part B Supplier - Ambulance Service Supplier 4981705209 Practice locations: Ludlow, 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
47D2001387Community Ambulance Service19 West Hill Rd, Ludlow, VT 05149Certificate of waiverDec 17, 2027

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.