Active NPIOrganization

Old Lyme South End Volunteer Ambulance

Ambulance in Old Lyme, Connecticut

NPI Number1437149994
Practice location
22 Cross Ln, Old Lyme, CT 06371-2115
Fax
860-434-8052
Last updated
March 13, 2008

Old Lyme South End Volunteer Ambulance is a healthcare organization based in Old Lyme, CT. Old Lyme South End Volunteer Ambulance practices in Old Lyme, CT. The NPI Number for Old Lyme South End Volunteer Ambulance is 1437149994 and holds a License No. C105B1 (CT). The current practice location address for Old Lyme South End Volunteer Ambulance is 22 Cross Ln, Old Lyme, CT 06371-2115 and can be reached out via phone at 860-434-0089 and via fax at 860-434-8052.

Provider Profile Details

NPI Number
1437149994
Provider Name
Old Lyme South End Volunteer Ambulance
Provider Entity Type
Organization
Address
22 Cross Ln, Old Lyme, CT 06371-2115
Phone Number
860-434-0089
Fax Number
860-434-8052
Primary Taxonomy
Ambulance · 341600000X
Organization Subpart
No
Authorized Official
Ms. Mary T Gentile · Authorized Agent · 860-257-9201
Provider Enumeration Date
October 26, 2005
Last Update Date
March 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Cross Ln
Old Lyme, CT 06371-2115
Zip
06371-2115
Phone Number
860-434-0089
Fax Number
860-434-8052
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
Po Box 290184
Wethersfield, CT 06129-0184
City
Wethersfield
State
CT
Zip
06129-0184
Phone Number
860-257-9201
Fax Number
860-721-6362

License Information

License Number
C105B1
License State
CT
Taxonomy
Ambulance · 341600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Old Lyme South End Volunteer Ambulance?

The NPI number of Old Lyme South End Volunteer Ambulance is 1437149994. It was assigned on October 26, 2005 and is currently active in the NPPES registry.

What is the specialty of Old Lyme South End Volunteer Ambulance?

Old Lyme South End Volunteer Ambulance is registered under the primary taxonomy Ambulance (code 341600000X), licensed in CT under license number C105B1.

Where does Old Lyme South End Volunteer Ambulance practice?

The practice location is 22 Cross Ln, Old Lyme, CT 06371-2115. The office can be reached at 860-434-0089 (phone) or 860-434-8052 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1437149994 directly on the NPPES registry website.

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