Suffield Volunteer Ambulance Association Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C139I1 Issued in CT

Legal business name

SUFFIELD VOLUNTEER AMBULANCE ASSOCIATION INC

Practice address

205 Bridge St
Suffield, CT 06078-2105

Phone

(860) 668-3881

NPI assigned

Aug 16, 2005

Last updated

Mar 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Arthur Groux

Title

Ambulance Chief

Phone

(860) 668-3881

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1033101241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "W SUFFIELD",
            "state": "CT",
            "postal_code": "060930062",
            "telephone_number": "860-668-3885",
            "fax_number": "860-668-3885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BRIDGE ST",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060782105",
            "telephone_number": "860-668-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUFFIELD VOLUNTEER AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "GROUX",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "AMBULANCE CHIEF",
        "authorized_official_telephone_number": "860-668-3881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C139I1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASS HEALTH",
            "identifier": "1720309",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "710C139I1CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "104428200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590006385",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CARE FAMILY",
            "identifier": "00410778700",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004107787",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011440",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "947163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suffield Medical Associates PLLC
• Suffield Pediatric and Adolescent Medicine PLLC
• Suffield Psychology Associates
• Suffield SNF Operations LLC
• Suffield Village Dental
• Mark Allen Sullivan, MBA, PT, ATC
• Alea Tardy
• Jacqueline Testa, LPC
• Therigatha Center for Psychotherapy
• Craig McClain Tini, DDS

• Ambulance in Suffield, CT
• Providers in Suffield, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.