Active NPI
Campion Ambulance Service Inc
- Ambulance
- Waterbury, CT
National Provider Identifier
1831205202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- L151P1
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A3354524 | Other | OXFORD | |
| 2V6291 | Other | PHS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071106000550 | CT | Part B Supplier - Ambulance Service Supplier | 3173582137 | Practice locations: Waterbury, CT |
National Provider Directory
National Provider DirectoryLocations
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.