Town of Guilford

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C060P1 Issued in CT

Legal business name

TOWN OF GUILFORD

Doing business as

Town of Guilford FD Ambulance

Practice address

390 Church St
Guilford, CT 06437-2004

Phone

(203) 453-8045

Fax

(203) 453-8005

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Charles Herrscahft

Title

Chief of Department

Phone

(203) 453-8056

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Town of Guilford FD Ambulance Doing business as

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

Tax ID family

Guilford Youth Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Town of Guilford

  dba Guilford Youth & Family Services

  • Clinical Social Worker
  • Guilford, CT
  • NPI 1316978000
  NPD tax ID

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1679678007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 CHURCH ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372004",
            "telephone_number": "203-453-8045",
            "fax_number": "203-453-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 CHURCH ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372004",
            "telephone_number": "203-453-8045",
            "fax_number": "203-453-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF GUILFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HERRSCAHFT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIEF OF DEPARTMENT",
        "authorized_official_telephone_number": "203-453-8056"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C060P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "710C060I1CT01",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004010500",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Guilford FD Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapy Staffing Solutions, LLC
• Thomas P. Petrick DMD and Theodore J. Katz DDS, PC
• Barbara V Thomas, DC
• Buddy Toth
• Town of Guilford (Guilford Youth & Family Services)
• Timothy R Trahant, LAC., PT, MSTCM
• Supatida Tuanthet, APRN
• Tulip Homecare Services LLC
• Sarah Tullo, APRN
• Julian A Umali, DPT

• Ambulance in Guilford, CT
• Providers in Guilford, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.