Organization Active NPI

KP Ambulance Corps, Inc,

  • Ambulance
  • Danielson, CT
National Provider Identifier
1013918408
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C069B1 Issued in CT
Legal business name
KP AMBULANCE CORPS, INC,
Practice address
294 Westcott Rd.
Danielson, CT 06239-0209
Phone
(860) 774-7625
Fax
(860) 779-2069
NPI assigned
Aug 9, 2005
Last updated
Aug 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen A. Varga
Title
Chief Administrator
Phone
(860) 774-7625

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C069B1 CT Primary

Addresses

Primary practice location

294 Westcott Rd.
Danielson, CT 06239-0209

Mailing address

P.O. Box 165
Branford, CT 06405-0165
Phone (860) 663-3634

Other identifiers 2

IdentifierTypeStateIssuer
004135184MedicaidCT
710C069B1CT01OtherCTANTHEM BLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100602000175 CT Part B Supplier - Ambulance Service Supplier 5890824718 Practice locations: Danielson, CT

National Provider Directory

National Provider Directory

Locations

195 Route 80
Killingworth, CT 06419

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786665600000",
    "number": "1013918408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 165",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064050165",
            "telephone_number": "860-663-3634",
            "fax_number": "860-452-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 WESTCOTT RD.",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062390209",
            "telephone_number": "860-774-7625",
            "fax_number": "860-779-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP AMBULANCE CORPS, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A",
        "authorized_official_last_name": "VARGA",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATOR",
        "authorized_official_telephone_number": "860-774-7625"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C069B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004135184",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "710C069B1CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.