Town of Vernon

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF VERNON

Practice address

14 Park PL
Vernon, CT 06066-3291

Phone

(860) 871-7468

Fax

(860) 870-3539

NPI assigned

Feb 9, 2006

Organization subpart

No

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

Authorized official

Name

James Luddecke

Title

Chief

Phone

(860) 870-3634

Specialties & licenses 1

Addresses

Other identifiers 4

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1477526663",
    "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": "14 PARK PL",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060663291",
            "telephone_number": "860-871-7468",
            "fax_number": "860-870-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF VERNON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "LUDDECKE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "860-870-3634"
    },
    "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": "441590050",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004010229",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CT8228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C146A2CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea M. Thoman, CPNP, APRN
• Eric Michael Thompson, DPM
• Andrew M Toce, LPC
• Dennis Tomczak
• Total Renal Care Inc
• Rebecca Trapp
• Sarah Grace Traynor, M.S. CCC-SLP
• True Care LLC
• Nicole Truszkowski
• Karen Tullson, PT

• Land Ambulance in Vernon, CT
• Providers in Vernon, 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 21, 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.