Roxbury Ambulance Association, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ROXBURY AMBULANCE ASSOCIATION, INC

Practice address

27 North St
Roxbury, CT 06783

Phone

(860) 354-9938

Fax

(860) 354-0560

NPI assigned

Apr 2, 2012

Last updated

Jul 6, 2012By 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

Mr. Bernard M Meehan Jr.

Title

Chief of Service/President

Phone

(203) 948-2561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1497011670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "ROXBURY",
            "state": "CT",
            "postal_code": "067830094",
            "telephone_number": "860-354-9938",
            "fax_number": "860-354-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 NORTH ST",
            "city": "ROXBURY",
            "state": "CT",
            "postal_code": "06783",
            "telephone_number": "860-354-9938",
            "fax_number": "860-354-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROXBURY AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "MEEHAN",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF OF SERVICE/PRESIDENT",
        "authorized_official_telephone_number": "203-948-2561",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence Jennings, PH.D.
• Theresa Krebs
• Miranda Lindsay Luis, LPC
• Joseph Mancinone, LMFT
• New Hope Therapeutic Services LLC
• Peter Marc Schoenholtz, L.C.S.W.
• Arietta Slade, PHD
• Mark Douglas Stracks, MD, MS, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2012; 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.