Active NPI
KP Ambulance Corps, Inc,
- Ambulance
- Danielson, CT
National Provider Identifier
1013918408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- C069B1
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004135184 | Medicaid | CT | |
| 710C069B1CT01 | Other | CT | ANTHEM BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100602000175 | CT | Part B Supplier - Ambulance Service Supplier | 5890824718 | Practice locations: Danielson, CT |
National Provider Directory
National Provider DirectoryLocations
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.