Woodbury Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WOODBURY AMBULANCE ASSOCIATION INC

Practice address

426 Main St N
Woodbury, CT 06798-2128

Phone

(203) 263-5252

NPI assigned

Feb 10, 2006

Organization subpart

No

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

Authorized official

Name

Julie L Slivinski

Title

President

Phone

(203) 263-5252

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1139529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1689647513",
    "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": "426 MAIN ST N",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067982128",
            "telephone_number": "203-263-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-10",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "SLIVINSKI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-263-5252"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004173457",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU6042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C168A2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Webb, M.S., BCBA
• William Christopher Brown
• Jammie Williams, LBA
• Wolf Spirit Wellness and Counseling Center, LLC
• Beth Wolf
• Woodbury Chiropractic Center
• Woodbury Physical Therapy LLC
• Woodbury Walk-in Clinic, LLC
• Yehuda Roberts Counseling LLC
• Courtney Young, LCSW

• Land Ambulance in Woodbury, CT
• Providers in Woodbury, 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 11, 2013; 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.