Active NPI
Town of Candia
Doing business as Candia Fire & Rescue
- Ambulance
- Candia, NH
National Provider Identifier
1932841988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TOWN OF CANDIA
- Doing business as
- Candia Fire & Rescue
- Practice address
- 11 Deerfield Road
Candia, NH 03034 - Phone
- (603) 483-2202
- NPI assigned
- Apr 11, 2022
- 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
- Michael Kelley
- Title
- EMS Captain
- Phone
- (508) 680-6600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
11 Deerfield Road
Candia, NH 03034
Mailing address
74 High St
Candia, NH 03034-2751
Other names 1
- Candia Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220614000687 | NH | Part B Supplier - Ambulance Service Supplier | 2264811793 | Practice locations: Candia, NH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 30D0943736 | Candia Volunteer Fire Rescue | Certificate of waiver | Mar 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
74 High St
Candia, NH 03034
11 Deerfield Rd
Candia, NH 03034
Phone (603) 483-2202
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649635200000",
"number": "1932841988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74 HIGH ST",
"city": "CANDIA",
"state": "NH",
"postal_code": "030342751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 DEERFIELD ROAD",
"city": "CANDIA",
"state": "NH",
"postal_code": "03034",
"telephone_number": "603-483-2202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF CANDIA",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-11",
"certification_date": "2022-03-25",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "EMS CAPTAIN",
"authorized_official_telephone_number": "508-680-6600"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Candia Fire & Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Candia, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.