Woodstock Volunteer Fire Assoc Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WOODSTOCK VOLUNTEER FIRE ASSOC INC

Doing business as

Woodstock EMS/Wvfa

Practice address

30 New Sweden Rd
Woodstock, CT 06281-3211

Phone

(860) 928-3163

NPI assigned

Feb 9, 2006

Last updated

Sep 21, 2010By 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

Mark Collins

Title

Captain

Phone

(860) 928-3163

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WOODSTOCK EMS/WVFA Doing business as

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": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1700859808",
    "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": "30 NEW SWEDEN RD",
            "city": "WOODSTOCK",
            "state": "CT",
            "postal_code": "062813211",
            "telephone_number": "860-928-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODSTOCK VOLUNTEER FIRE ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-09",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "860-928-3163"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C169B1CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004174760",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WOODSTOCK EMS/WVFA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Therapeutic Enterprises Inc.
• Jaidyn Avery Varin
• Noreen Wallace, OTR L
• Paige Westerfield, PSYD
• Woodstock Public Schools
• Robert Wayman Worsham, PH.D.
• Lindsay Jean Young

• Land Ambulance in Woodstock, CT
• Providers in Woodstock, 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 21, 2010; 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.