DURHAM VOLUNTEER AMBULANCE CORPS INC NPI 1114973245

NPI Information

NPI: 1114973245
Provider Name: DURHAM VOLUNTEER AMBULANCE CORPS INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
205 MAIN ST
DURHAM, CT
ZIP 06422
Phone: (860) 663-3634
Get Directions

DURHAM VOLUNTEER AMBULANCE CORPS INC is a land transport ambulance in Durham, CT. DURHAM VOLUNTEER AMBULANCE CORPS INC NPI is 1114973245. The provider is registered as an organization entity type.

The provider's business location address is:

205 MAIN ST
DURHAM, CT
ZIP 06422-108
Phone: (860) 663-3634
Fax: (860) 663-3795

The provider's authorized official is Thomas Wimler .
The authorized official title is Chief Of Service and has the following contact phone number (860) 349-9966.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/6/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	E5455	CONNECTICUT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00290556	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	RAILROAD RETIRMENT MEDICA
2	506411	OTHER	CONNECTICUT	CONNECTICARE
3	004243789	MEDICAID	CONNECTICUT
4	590000063	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
5	710C038B1CT01	OTHER	CONNECTICUT	ANTHEM BLUE CROSS
6	CW0088	OTHER	CONNECTICUT	HEALTHNET

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

NPI Synchronization or Removal

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