Organization Active NPI

Campion Ambulance Service Inc

  • Ambulance
  • Waterbury, CT
National Provider Identifier
1831205202
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
L151P1 Issued in CT
Legal business name
CAMPION AMBULANCE SERVICE INC
Practice address
15 W Dover St
Waterbury, CT 06706-1028
Phone
(203) 755-2293
Fax
(203) 757-0187
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Mr. William T Campion Jr.
Title
Chief Operations Officer Coo
Phone
(203) 755-2293

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X L151P1 CT Primary

Addresses

Primary practice location

15 W Dover St
Waterbury, CT 06706-1028

Mailing address

PO Box 1227
15 West Dover St
Waterbury, CT 06706
Phone (203) 755-2293

Other identifiers 2

IdentifierTypeStateIssuer
A3354524OtherOXFORD
2V6291OtherPHS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071106000550 CT Part B Supplier - Ambulance Service Supplier 3173582137 Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

15 W Dover St
Waterbury, CT 06706
Phone 2037532293222

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1831205202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1227",
            "address_2": "15 WEST DOVER ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "06706",
            "telephone_number": "203-755-2293",
            "fax_number": "203-757-0187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 W DOVER ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061028",
            "telephone_number": "203-755-2293",
            "fax_number": "203-757-0187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPION AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "CAMPION",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER COO",
        "authorized_official_telephone_number": "203-755-2293",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "L151P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A3354524",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHS",
            "identifier": "2V6291",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.