Organization Active NPI

Echo Hose Hook and Ladder Ambulance Corps., Inc.

  • Land Ambulance
  • Shelton, CT
National Provider Identifier
1619965167
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
C126B1 Issued in CT
Legal business name
ECHO HOSE HOOK AND LADDER AMBULANCE CORPS., INC.
Practice address
100 Meadow St
Shelton, CT 06484-2265
Phone
(203) 924-9211
Fax
(203) 294-6603
NPI assigned
Oct 10, 2005
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Ms. Robin M Greene
Title
Authorized Agent
Phone
(203) 729-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X C126B1 CT Primary

Addresses

Primary practice location

100 Meadow St
Shelton, CT 06484-2265

Mailing address

PO Box 131
Beacon Falls, CT 06403-0131
Phone (203) 729-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051018000471 CT Part B Supplier - Ambulance Service Supplier 8527084763 Practice locations: Shelton, CT

National Provider Directory

National Provider Directory

Locations

100 Meadow St
Shelton, CT 06484
Phone (203) 924-5500

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1619965167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064030131",
            "telephone_number": "203-729-2800",
            "fax_number": "203-729-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEADOW ST",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064842265",
            "telephone_number": "203-924-9211",
            "fax_number": "203-294-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO HOSE HOOK AND LADDER AMBULANCE CORPS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "203-729-2800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C126B1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.