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KILLINGWORTH AMBULANCE ASSOCIATION INC NPI 1023048261


NPI Information

NPI: 1023048261
Provider Name: KILLINGWORTH AMBULANCE ASSOCIATION, INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
325 ROUTE 81
KILLINGWORTH, CT
ZIP 06419
Phone: (860) 663-3634
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KILLINGWORTH AMBULANCE ASSOCIATION, INC is a land transport ambulance in Killingworth, CT. KILLINGWORTH AMBULANCE ASSOCIATION, INC NPI is 1023048261. The provider is registered as an organization entity type.

The provider's business location address is:

325 ROUTE 81
KILLINGWORTH, CT
ZIP 06419-999
Phone: (860) 663-3634
Fax: (860) 663-3795

The provider's authorized official is Daniel E O'sullivan .
The authorized official title is President and has the following contact phone number (860) 663-2450.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/1/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13416L0300XAmbulanceLand TransportE5415CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1004010492MEDICAIDCONNECTICUT
2699842OTHERCONNECTICUTCONNECTICARE
3CT2195OTHERCONNECTICUTHEALTHNET
4710C070A2CT01OTHERCONNECTICUTANTHEM BLUE CROSS
5590014003OTHERCONNECTICUTRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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