Active NPI
Town of Ledyard
Doing business as Ledyard Vol. Emergency Squad
- Land Ambulance
- Ledyard, CT
National Provider Identifier
1245225887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- TOWN OF LEDYARD
- Doing business as
- Ledyard Vol. Emergency Squad
- Practice address
- 741 R Col Ledyard Highway
Ledyard, CT 06339 - Phone
- (860) 464-8222
- NPI assigned
- Sep 20, 2005
- Last updated
- Jan 20, 2010
- 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
- Kathy Ivey
- Title
- Director
- Phone
- (860) 464-8222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
741 R Col Ledyard Highway
Ledyard, CT 06339
Mailing address
269 Main St
Cromwell, CT 06416-2302
Phone (860) 638-1800
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590010517 | Other | RAILROAD MEDICARE | |
| 004161444 | Medicaid | CT | |
| CT6659 | Other | HEALTHNET | |
| 710C072B1CT01 | Other | BLUE CROSS/BLUE SHIELD |
Other names 1
- LEDYARD VOL. EMERGENCY SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100223000742 | CT | Part B Supplier - Ambulance Service Supplier | 9234273616 | Practice locations: Ledyard, CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263945600000",
"number": "1245225887",
"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": "741 R COL LEDYARD HIGHWAY",
"city": "LEDYARD",
"state": "CT",
"postal_code": "06339",
"telephone_number": "860-464-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF LEDYARD",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-20",
"last_updated": "2010-01-20",
"status": "A",
"authorized_official_last_name": "IVEY",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "860-464-8222"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590010517",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004161444",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "CT6659",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "710C072B1CT01",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LEDYARD VOL. EMERGENCY SQUAD",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Ledyard, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.