Southbury Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

SOUTHBURY AMBULANCE ASSOCIATION INC

Practice address

68 Georges Hill Rd
Southbury, CT 06488-2613

Phone

(203) 262-8082

Fax

(203) 262-8082

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

Henry Velthuizen

Title

President

Phone

(203) 262-8082

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1679546857",
    "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": "68 GEORGES HILL RD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064882613",
            "telephone_number": "203-262-8082",
            "fax_number": "203-262-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBURY AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "VELTHUIZEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-262-8082"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C130A2CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004205218",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CV1577",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clay Songow Smith I
• Diane Ellen Smith, LMFT
• Elizabeth A Snyder, LMFT
• Victoria Ann Sosnoski
• Southbury Adolescent and Young Adult Counseling Center
• Southbury Audiology LLC
• Southbury Health Group LLC
• Southbury Medical Associates, LLP
• Southbury Physical Therapy
• Southbury Senior Living, LLC

• Land Ambulance in Southbury, CT
• Providers in Southbury, 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 27, 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.