Town of Plymouth Volunteer Ambulance Corps

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS

Practice address

191 Main St
Terryville, CT 06786-6219

Phone

(860) 584-5370

Fax

(860) 589-8554

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

Lani Johnson

Title

President

Phone

(860) 584-5370

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1154394336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 MAIN ST",
            "city": "TERRYVILLE",
            "state": "CT",
            "postal_code": "067866219",
            "telephone_number": "860-584-5370",
            "fax_number": "860-589-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LANI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-584-5370"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C111A2CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004194817",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU9362",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Swart
• Szy Inc
• David Julius Szymanski, DDS
• Terryville Family Dental, LLC
• The Grace International Lactation Center Inc
• Yadira Valdes, MOT, OTR/L
• Walgreen Co
• Katielea Katherine Zullo, LPN

• Land Ambulance in Terryville, CT
• Providers in Terryville, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.