Active NPI
Town of Trumbull
- Ambulance
- Trumbull, CT
National Provider Identifier
1811063548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- C144P1
- Legal business name
- TOWN OF TRUMBULL
- Practice address
- 250 Middlebrooks Ave
Trumbull, CT 06611 - Phone
- (203) 452-5146
- Fax
- (203) 452-5179
- NPI assigned
- Nov 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. VI Watson
- Title
- Chairman Trumbull Emergency Medical
- Phone
- (203) 452-5146
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | C144P1 | CT | Primary |
| Land Ambulance | 3416L0300X | C144P1 | CT |
Addresses
Primary practice location
250 Middlebrooks Ave
Trumbull, CT 06611
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004130720 | Medicaid | CT | |
| A1122545 | Other | CT | OXFORD HEALTH |
| 590006647 | Other | CT | RR MEDICARE |
Other names 1
- Trumbull EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080529000377 | CT | Part B Supplier - Ambulance Service Supplier | 8022188341 | Practice locations: Trumbull, CT |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Town of Trumbull
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- State or Local Public Health Clinic/Center
- Trumbull, CT
- NPI 1316321318
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Trumbull, CT
- NPI 1710868732
-
- Local Education Agency (LEA)
- Trumbull, CT
- NPI 1124453147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1467331200000",
"number": "1811063548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 TURCOTTE MEMORIAL DR",
"city": "ROWLEY",
"state": "MA",
"postal_code": "019691706",
"telephone_number": "800-488-4351",
"fax_number": "978-356-2721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 MIDDLEBROOKS AVE",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "06611",
"telephone_number": "203-452-5146",
"fax_number": "203-452-5179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF TRUMBULL",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2016-07-01",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "VI",
"authorized_official_title_or_position": "CHAIRMAN TRUMBULL EMERGENCY MEDICAL",
"authorized_official_telephone_number": "203-452-5146",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "CT",
"license": "C144P1",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CT",
"license": "C144P1",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004130720",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH",
"identifier": "A1122545",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "590006647",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Trumbull EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Trumbull, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.