TOWN OF VERNON NPI 1477526663

NPI Information

NPI: 1477526663
Provider Name: TOWN OF VERNON
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 07D1078933

Address:
14 PARK PL
VERNON, CT
ZIP 06066
Phone: (860) 871-7468
Get Directions

TOWN OF VERNON is a land transport ambulance in Vernon, CT. TOWN OF VERNON NPI is 1477526663. The provider is registered as an organization entity type.

The provider's business location address is:

14 PARK PL
VERNON, CT
ZIP 06066-291
Phone: (860) 871-7468
Fax: (860) 870-3539

The provider's authorized official is James Luddecke .
The authorized official title is Chief and has the following contact phone number (860) 870-3634.

The CLIA number assigned to this NPI record is 07D1078933 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/9/2006 and was last updated on 9/21/2010.

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			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	004010229	MEDICAID	CONNECTICUT
2	CT8228	OTHER		HEALTHNET
3	710C146A2CT01	OTHER	CONNECTICUT	BLUE CROSS/BLUE SHIELD
4	590000039	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT
5	441590050	OTHER	CONNECTICUT	RAILROAD 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

NPI Synchronization or Removal

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