East Windsor Ambulance Assoc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C047P1 Issued in CT

Legal business name

EAST WINDSOR AMBULANCE ASSOC

Practice address

25 School St
East Windsor, CT 06088-9511

Phone

(860) 654-0515

Fax

(860) 623-5289

NPI assigned

Aug 16, 2005

Last updated

Mar 15, 2012By 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. Thomas J Clynch III

Title

Ambulance Chief

Phone

(860) 654-0515

Specialties & licenses 2

Addresses

Other identifiers 4

Tax ID family

East Windsor Ambulance Assoc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• East Windsor Ambulance Assoc. Inc.

  • Ambulance
  • East Windosr, CT
  • NPI 1093821431
  NPD tax ID

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1114919305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060880188",
            "telephone_number": "860-654-0515",
            "fax_number": "860-623-5289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 SCHOOL ST",
            "city": "EAST WINDSOR",
            "state": "CT",
            "postal_code": "060889511",
            "telephone_number": "860-654-0515",
            "fax_number": "860-623-5289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST WINDSOR AMBULANCE ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "CLYNCH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AMBULANCE CHIEF",
        "authorized_official_telephone_number": "860-654-0515",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C047P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590009265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "104834400",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004138055",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "777989",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Clyde Davis, RPH
• DCF Albert J. Solnit Center - North Campus
• Joseph Lakshman Dene, DDS.,PHD
• Susan J Devine, OD
• Jonah Earl, LMSW
• East Windsor Board of Education
• Eastern Services & Camp Simon, LLC
• Effective Solutions Counseling, LLC
• Elegant Clinical Corporation
• Catherine Marie Ewing, LCSW, MDIV

• Land Ambulance in East Windsor, CT
• Providers in East Windsor, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.