Haddam Volunteer Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C061B1 Issued in CT

Legal business name

HADDAM VOLUNTEER AMBULANCE SERVICE INC

Practice address

9 Skinner Rd
Higganum, CT 06441-4314

Phone

(860) 345-2500

Fax

(860) 345-2725

NPI assigned

Oct 26, 2005

Organization subpart

No

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

Authorized official

Name

Rhonda Boisvert

Title

Cheif

Phone

(860) 345-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784764800000",
    "number": "1205826765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064050165",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SKINNER RD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414314",
            "telephone_number": "860-345-2500",
            "fax_number": "860-345-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADDAM VOLUNTEER AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A",
        "authorized_official_last_name": "BOISVERT",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CHEIF",
        "authorized_official_telephone_number": "860-345-2500"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C061B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004068888",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010909",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James R Doran, MD
• Erik Robert Dykas
• Brittany Farrell
• Amberlyn Grasso
• Michele Grasso, RPT
• Higganum Drug Center
• Higganum Pharmacy LLC
• Higganum Pharmacy LLC
• Higganum Physical Therapy, Inc.
• Julie Marie Huston, APRN

• Ambulance in Higganum, CT
• Providers in Higganum, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.