North Canaan Volunteer Ambulance Corp

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C100I1 Issued in CT

Legal business name

NORTH CANAAN VOLUNTEER AMBULANCE CORP

Practice address

15 Main Street
Canaan, CT 06018-0178

Phone

(860) 824-9986

NPI assigned

Feb 28, 2007

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Minacci

Title

Treasurer

Phone

(860) 248-1106

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1831227230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROUTE 80",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191400",
            "telephone_number": "860-452-4500",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MAIN STREET",
            "city": "CANAAN",
            "state": "CT",
            "postal_code": "060180178",
            "telephone_number": "860-824-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANAAN VOLUNTEER AMBULANCE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "MINACCI",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "860-248-1106"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C100I1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004128733",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Canaan, CT
• Providers in Canaan, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.