South Windsor Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C132B1 Issued in CT

Legal business name

SOUTH WINDSOR AMBULANCE CORPS INC

Practice address

151A Sand Hill Rd
South Windsor, CT 06074-2094

Phone

(860) 648-6246

Fax

(860) 644-1572

NPI assigned

Oct 10, 2005

Last updated

Jan 6, 2014By 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. Phil Fluery

Title

EMS Director

Phone

(860) 282-0669

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1144218546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151A SAND HILL RD",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742094",
            "telephone_number": "860-648-6246",
            "fax_number": "860-644-1572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WINDSOR AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "FLUERY",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "860-282-0669",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C132B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590013482",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004189751",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justin Smith
• Monica Smith, MS
• Stephanie Snow, PH.D.
• Larisa Sokolson, DMD
• Leslie Keyes Soran, NUTRITIONIST
• South Windsor Ambulatory Care Ctr Inc
• South Windsor Board of Education
• South Windsor Neck and Back, LLC
• South Windsor Pediatrics, LLC
• South Windsor Perio, PLLC

• Ambulance in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.