Organization Active NPI

Town of Bennington Rescue Squad, Inc.

  • Land Ambulance
  • Bennington, VT
National Provider Identifier
1922005750
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1208 Issued in VT
Legal business name
TOWN OF BENNINGTON RESCUE SQUAD, INC.
Practice address
120 McKinley St
Bennington, VT 05201-1823
Phone
(802) 442-5817
Fax
(802) 447-1993
NPI assigned
Jul 7, 2005
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Mr. William Camarda
Title
Executive Director
Phone
(802) 442-5817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1208 VT Primary

Addresses

Primary practice location

120 McKinley St
Bennington, VT 05201-1823

Mailing address

120 McKinley St
Bennington, VT 05201-1823
Phone (802) 442-5817

Other identifiers 1

IdentifierTypeStateIssuer
0AM0055MedicaidVT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071213000106 VT Part B Supplier - Ambulance Service Supplier 1254421365 Practice locations: Bennington, 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
47D1000818Town of Bennington Rescue Squad120 McKinley St, Bennington, VT 05201Certificate of waiverJun 23, 2028

National Provider Directory

National Provider Directory

Locations

120 McKinley St
Bennington, VT 05201
Phone (802) 442-5817

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1922005750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MCKINLEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011823",
            "telephone_number": "802-442-5817",
            "fax_number": "802-447-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MCKINLEY ST",
            "city": "BENNINGTON",
            "state": "VT",
            "postal_code": "052011823",
            "telephone_number": "802-442-5817",
            "fax_number": "802-447-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BENNINGTON RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A",
        "authorized_official_last_name": "CAMARDA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "802-442-5817",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0055",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bennington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.