Active NPI
Lords Ambulance Service Inc
- Land Ambulance
- Wolfeboro, NH
National Provider Identifier
1992835557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0125
- Legal business name
- LORDS AMBULANCE SERVICE INC
- Practice address
- 44 Center Street
Wolfeboro, NH 03894 - Phone
- (603) 569-2081
- Fax
- (603) 569-6214
- NPI assigned
- Mar 6, 2007
- 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. Brian C Lord
- Title
- President
- Phone
- (603) 539-7585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 0125 | NH | Primary |
Addresses
Primary practice location
44 Center Street
Wolfeboro, NH 03894
Mailing address
PO Box 490
Center Ossipee, NH 03814-0490
Phone (603) 539-7585
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 813433 | Other | BAY STATE HEALTH | |
| H002158 | Other | CHAMPUS | |
| 4620 | Other | HEALTHSOURCE | |
| A2377 | Other | EMPIRE BCBS | |
| 1714767 | Other | MA | MEDICAID MASS HEALTH UNYS |
| 3083574 | Other | CT | CT MEDICAID |
| 801736 | Other | TUFTS HEALTH | |
| P00016493 | Other | RR MEDICARE | |
| 22F4096 | Other | MA | MA BCBS MEDEX |
| 40006268 | Medicaid | NH |
Other names 1
- Lakeside Ambulance Service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1992835557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 490",
"city": "CENTER OSSIPEE",
"state": "NH",
"postal_code": "038140490",
"telephone_number": "603-539-7585",
"fax_number": "603-569-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CENTER STREET",
"city": "WOLFEBORO",
"state": "NH",
"postal_code": "03894",
"telephone_number": "603-569-2081",
"fax_number": "603-569-6214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORDS AMBULANCE SERVICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "603-539-7585",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NH",
"license": "0125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BAY STATE HEALTH",
"identifier": "813433",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "H002158",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "4620",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BCBS",
"identifier": "A2377",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID MASS HEALTH UNYS",
"identifier": "1714767",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CT MEDICAID",
"identifier": "3083574",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH",
"identifier": "801736",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00016493",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MA BCBS MEDEX",
"identifier": "22F4096",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40006268",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeside Ambulance Service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wolfeboro, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.