Active NPI
Wolcott Volunteer Ambulance Association, Inc
- Land Ambulance
- Wolcott, CT
National Provider Identifier
1194798298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004181301 | Medicaid | CT | |
| CU4175 | Other | HEALTHNET | |
| 710C166A2CT01 | Other | BLUE CROSS/BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100119000382 | CT | Part B Supplier - Ambulance Service Supplier | 1052453768 | Practice locations: Wolcott, CT |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Waterbury, CT
- NPI 1124888987
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.