Provider Type Icon

TOWN OF SOMERS NPI 1922090117


NPI Information

NPI: 1922090117
Provider Name: TOWN OF SOMERS

Doing Business As: SOMERS FIRE DEPT AMBULANCE

Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 07D2113455

Address:
400 MAIN ST
SOMERS, CT
ZIP 06071
Phone: (860) 749-7626
Get Directions

TOWN OF SOMERS is an ambulance in Somers, CT. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). TOWN OF SOMERS NPI is 1922090117. The provider is registered as an organization entity type.
The provider Is Doing Business As Somers Fire Dept Ambulance.

The provider's business location address is:

400 MAIN ST
SOMERS, CT
ZIP 06071-918
Phone: (860) 749-7626

The provider's authorized official is Michael Marinaccio .
The authorized official title is Cfo and has the following contact phone number (860) 763-8200.

The CLIA number assigned to this NPI record is 07D2113455 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 12/4/2014.


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
1341600000XAmbulanceC129B1CONNECTICUTYes

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
1004188969MEDICAIDCONNECTICUT
2768025OTHERCONNECTICARE
3590000175MEDICARE ID-TYPE UNSPECIFIED
4201064700OTHERDEPT OF LABOR
5P00134993OTHERRAILROAD MEDICARE
6710C129B1CT01OTHERANTHEM BCBS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.