Town of Northumberland

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0046 Issued in NH

Legal business name

TOWN OF NORTHUMBERLAND

Doing business as

Groveton Ambulance

Practice address

10 Station SQ
Suite 2
Groveton, NH 03582-4400

Phone

(603) 636-1057

Fax

(603) 636-1357

NPI assigned

Dec 13, 2006

Last updated

Feb 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Roger Gibson Jr.

Title

EMS Chief

Phone

(603) 636-1057

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Groveton Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455148800000",
    "number": "1841351723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 STATION SQ",
            "address_2": "SUITE 2",
            "city": "GROVETON",
            "state": "NH",
            "postal_code": "035824400",
            "telephone_number": "603-636-1057",
            "fax_number": "603-636-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF NORTHUMBERLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2016-02-11",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "EMS CHIEF",
        "authorized_official_telephone_number": "603-636-1057",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590092241",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076578",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groveton Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natalie J Marquis
• Debra Mellett
• Northumberland School District
• Laurie Rathman, M.ED., CAGS
• Kylee Ann Roberts, M.D.
• Weeks Medical Center

• Land Ambulance in Groveton, NH
• Providers in Groveton, NH by specialty
• Land Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; 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.