Active NPI
Rocky Hill Volunteer Ambulance Assoc. Inc
- Ambulance
- Rocky Hill, CT
National Provider Identifier
1063400505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- C119P1
- Legal business name
- ROCKY HILL VOLUNTEER AMBULANCE ASSOC. INC
- Practice address
- 3050 Main St
Rocky Hill, CT 06067-3712 - Phone
- (860) 258-7612
- Fax
- (860) 258-7619
- NPI assigned
- Oct 10, 2005
- Last updated
- Dec 17, 2008
- 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
- Mrs. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (800) 452-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | C119P1 | CT | Primary |
Addresses
Primary practice location
3050 Main St
Rocky Hill, CT 06067-3712
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 452-8191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004095742 | Medicaid | CT | |
| 590006408 | Other | CT | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071217000371 | CT | Part B Supplier - Ambulance Service Supplier | 7810087673 | Practice locations: Rocky Hill, CT |
National Provider Directory
National Provider DirectoryLocations
3050 Main St
Rocky Hill, CT 06067
Phone (860) 258-7612
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Rocky Hill, CT
- NPI 1639731060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229472000000",
"number": "1063400505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "860-452-8191",
"fax_number": "860-563-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MAIN ST",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060673712",
"telephone_number": "860-258-7612",
"fax_number": "860-258-7619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY HILL VOLUNTEER AMBULANCE ASSOC. INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2008-12-17",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "800-452-8191",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "CT",
"license": "C119P1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004095742",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590006408",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.