Town of Canton
Organization Active NPI Ambulance · Collinsville, CT
NPI 1831187293 · NPPES record last updated Jul 1, 2016
Key facts
- NPI
- 1831187293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- C023I1 (CT)
- Legal business name
- TOWN OF CANTON
- Practice address
- 51 River Rd
Collinsville, CT 06019-3174 - Phone
- (860) 293-2325
- Fax
- (860) 693-2371
- NPI assigned
- Oct 11, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. John Bunnell
- Title
- Assistant Chief
- Phone
- (860) 693-7852
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110207000252 | CT | Part B Supplier - Ambulance Service Supplier | 2769662824 | Practice locations: Collinsville, CT |
National Provider Directory
Locations
4 Market St
Collinsville, CT 06019
51 River Rd
Collinsville, CT 06019
Phone (860) 293-2325
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | C023I1 | CT | Yes |
| Land Ambulance | 3416L0300X | C023I1 | CT |
Addresses
Primary practice location
51 River Rd
Collinsville, CT 06019-3174
Mailing address
8 Turcotte Memorial Dr
Rowley, MA 01969-1706
Phone (800) 488-4351
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004246254 | Medicaid | CT | |
| P00085180 | Other | RAILROAD MEDICARE |
Other providers in Collinsville, CT
- Routes to Bloom Counseling and Wellness
- Karel Ellen Rubinstein
- Scott L Gourson LLC
- Anna Marie Smyth
- Jean Stewart
- Erin Wegner-Vincent
- Tracy Whittingslow
- Barbara Whitteberry Zachs
- Alyssa Zadrozinski
All providers in Collinsville, CT · Ambulance in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.