ELLINGTON VOLUNTEER AMB NPI 1659369932

NPI Information

  • NPI: 1659369932
  • Provider Name: ELLINGTON VOLUNTEER AMB
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • CLIA Number: 07D2151076
  • Address: 41 MAPLE ST
    ELLINGTON, CT
    ZIP 06029
  • Phone: (860) 870-3170

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NPI Details

ELLINGTON VOLUNTEER AMB is a land transport ambulance in Ellington, CT. ELLINGTON VOLUNTEER AMB NPI is 1659369932. The provider is registered as an organization entity type.

The provider's business location address is:

41 MAPLE ST
ELLINGTON, CT
ZIP 06029-333
Phone: (860) 870-3170
Fax: (860) 870-3173

The provider's authorized official is Heather M Lizotte .
The authorized official title is Authorized Agent and has the following contact phone number (800) 452-8191.

The CLIA number assigned to this NPI record is 07D2151076 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2005 and was last updated on 6/13/2008.

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
13416L0300XAmbulanceLand TransportC048B1CONNECTICUTYes

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
1004180428MEDICAIDCONNECTICUT
2590011751OTHERRAILROAD MEDICARE
3590000176MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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