Active NPI
Town of Hartford
- Ambulance
- White River Junction, VT
National Provider Identifier
1922160274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0904
- Legal business name
- TOWN OF HARTFORD
- Practice address
- 812 VA Cutoff Rd
White River Junction, VT 05001-9777 - Phone
- (802) 295-3232
- Fax
- (802) 295-5143
- NPI assigned
- Dec 14, 2006
- 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
- Mr. Steve A. Locke
- Title
- Fire Chief
- Phone
- (802) 295-3232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0904 | VT | Primary |
Addresses
Primary practice location
812 VA Cutoff Rd
White River Junction, VT 05001-9777
Mailing address
812 VA Cutoff Rd
White River Junction, VT 05001-9777
Phone (802) 295-3232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VT6443 | Medicaid | VT |
Other names 1
- Hartford Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080619000224 | VT | Part B Supplier - Ambulance Service Supplier | 3971686759 | Practice locations: White River Junction, VT |
National Provider Directory
National Provider DirectoryLocations
812 Va Cutoff Rd
White River Junction, VT 05001
Phone (802) 295-3232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213574400000",
"number": "1922160274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 VA CUTOFF RD",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050019777",
"telephone_number": "802-295-3232",
"fax_number": "802-295-5143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 VA CUTOFF RD",
"city": "WHITE RIVER JUNCTION",
"state": "VT",
"postal_code": "050019777",
"telephone_number": "802-295-3232",
"fax_number": "802-295-5143"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF HARTFORD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-14",
"last_updated": "2008-06-16",
"status": "A",
"authorized_official_last_name": "LOCKE",
"authorized_official_first_name": "STEVE",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "802-295-3232",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VT",
"license": "0904",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "VT6443",
"state": "VT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hartford Fire Department",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in White River Junction, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.