Town of Lisbon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0172 Issued in NH

Legal business name

TOWN OF LISBON

Doing business as

Lisbon EMS

Practice address

46 School Street
Lisbon, NH 03585

Phone

(603) 838-6903

Fax

(603) 944-4576

NPI assigned

Mar 30, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Audrey Champagne

Title

Finance Officer

Phone

(603) 616-6530

Specialties & licenses 2

Addresses

Other names 1

• Lisbon EMS Doing business as

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": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1881919157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SCHOOL STREET",
            "city": "LISBON",
            "state": "NH",
            "postal_code": "03585",
            "telephone_number": "603-838-6903",
            "fax_number": "603-944-4576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 SCHOOL STREET",
            "city": "LISBON",
            "state": "NH",
            "postal_code": "03585",
            "telephone_number": "603-838-6903",
            "fax_number": "603-944-4576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LISBON",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "CHAMPAGNE",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "603-616-6530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0172",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NH",
            "license": "0172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lisbon EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Lisbon, NH
• Providers in Lisbon, 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 Aug 13, 2020; 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.