Groton Ambulance Assoc Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GROTON AMBULANCE ASSOC INC

Practice address

217 Newtown Rd
Groton, CT 06340-4354

Phone

(860) 445-9738

Fax

(860) 449-0924

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

Debbie English

Title

Office Manager

Phone

(860) 445-9738

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1437150182",
    "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": "217 NEWTOWN RD",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404354",
            "telephone_number": "860-445-9738",
            "fax_number": "860-449-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROTON AMBULANCE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "ENGLISH",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-445-9738"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CT0481",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C059A2CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590069580",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004053971",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "00405397100",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Allen Griffenberg
• Rebecca A Grillo
• Robert A Grillo Jr., M.D.
• Steven David Grob, D.C.
• Margaret Gross, M.D.
• Groton Chiropractic Center, LLC
• Groton Eye Center, LLC.
• Benjamin John Grover, IDC
• Carolyn Jonne Groves, N.D.
• Growing Potential, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.