Souhegan Valley Ambulance Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0045 Issued in NH

Legal business name

SOUHEGAN VALLEY AMBULANCE INC

Practice address

435 Turnpike Rd
New Ipswich, NH 03071-3642

Phone

(800) 488-4351

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Darel R. Oja I

Title

Chief

Phone

(800) 488-4351

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1982674834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 TURNPIKE RD",
            "city": "NEW IPSWICH",
            "state": "NH",
            "postal_code": "030713642",
            "telephone_number": "800-488-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUHEGAN VALLEY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "OJA",
        "authorized_official_first_name": "DAREL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "800-488-4351",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NH",
            "license": "0045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "7104081Y0NH01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010680",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590014756",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "703228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "804662",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in New Ipswich, NH
• Providers in New Ipswich, NH by specialty
• Ambulance in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.