Town of Windham

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF WINDHAM

Practice address

13 Bank St
Willimantic, CT 06226-2441

Phone

(860) 465-3060

NPI assigned

Jul 7, 2005

Last updated

Mar 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Buden

Title

Comptroller

Phone

(860) 465-3060

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• WILLIMANTIC FIRE DEPARTMENT Other name

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": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1255338091",
    "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": "13 BANK ST",
            "city": "WILLIMANTIC",
            "state": "CT",
            "postal_code": "062262441",
            "telephone_number": "860-465-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WINDHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "BUDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "860-465-3060"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "00401058300",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFFERED ONE",
            "identifier": "004010583",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004010583",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH NETWORK",
            "identifier": "004010583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "710L163A2CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIMANTIC FIRE DEPARTMENT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• The Stop & Shop Supermarket Company, LLC (Stop and Shop Pharmacy #674)
• Woodrow F Tinsley III, LMSW
• Griselle Torres
• Maria Torres
• Nestor Enrique Torres, MD
• Town of Windham Board of Education
• Adam S Traxler
• Amos Traystman, M.S.
• Salvatore Tresca Jr., C.R.N.A.
• Tricounty Vision Associates, L.L.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.