Organization Active NPI

Wolcott Volunteer Ambulance Association, Inc

  • Land Ambulance
  • Wolcott, CT
National Provider Identifier
1194798298
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WOLCOTT VOLUNTEER AMBULANCE ASSOCIATION, INC
Practice address
48 Todd Rd
Wolcott, CT 06716-2821
Phone
(203) 879-4122
NPI assigned
Feb 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Bill Barratt
Title
President
Phone
(203) 879-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X CT Primary

Addresses

Primary practice location

48 Todd Rd
Wolcott, CT 06716-2821

Mailing address

269 Main St
Cromwell, CT 06416-2302
Phone (860) 638-1800

Other identifiers 3

IdentifierTypeStateIssuer
004181301MedicaidCT
CU4175OtherHEALTHNET
710C166A2CT01OtherBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100119000382 CT Part B Supplier - Ambulance Service Supplier 1052453768 Practice locations: Wolcott, CT

National Provider Directory

National Provider Directory

Locations

48 Todd Rd
Wolcott, CT 06716
Phone (203) 879-4122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1194798298",
    "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": "48 TODD RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162821",
            "telephone_number": "203-879-4122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLCOTT VOLUNTEER AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "BARRATT",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-879-4122"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004181301",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU4175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C166A2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wolcott, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.