Town of Montgomery

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0121 Issued in VT

Legal business name

TOWN OF MONTGOMERY

Doing business as

Montgomery Rescue

Practice address

86 Mountain Road
Montgomery Center, VT 05471

Phone

(802) 326-4555

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Scott Scheffler, EMTI03

Title

Business Manager

Phone

(802) 326-4058

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Montgomery Rescue Doing business as

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1982668620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "MONTGOMERY CENTER",
            "state": "VT",
            "postal_code": "054710356",
            "telephone_number": "802-326-4719",
            "fax_number": "802-326-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 MOUNTAIN ROAD",
            "city": "MONTGOMERY CENTER",
            "state": "VT",
            "postal_code": "05471",
            "telephone_number": "802-326-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "SCHEFFLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "802-326-4058",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMTI03"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "0121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05939111",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OAM0042",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Kaufman, M.D.
• Amie Koontz, CMHC
• Soulshine Integrative Wellness, LLC

• Ambulance in Montgomery Center, VT
• Providers in Montgomery Center, VT by specialty
• Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.