Simsbury Volunteer Ambulance Association, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C128P1 Issued in CT

Legal business name

SIMSBURY VOLUNTEER AMBULANCE ASSOCIATION, INC

Practice address

4 Old Mill Lane
Simsbury, CT 06070

Phone

(860) 658-7213

Fax

(860) 658-4987

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael J Delehanty

Title

Executive Director

Phone

(860) 658-7213

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821128562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 301",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "060700301",
            "telephone_number": "860-658-7213",
            "fax_number": "860-658-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OLD MILL LANE",
            "city": "SIMSBURY",
            "state": "CT",
            "postal_code": "06070",
            "telephone_number": "860-658-7213",
            "fax_number": "860-658-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMSBURY VOLUNTEER AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELEHANTY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-658-7213",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C128P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECARE",
            "identifier": "00414059700",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.