Organization Active NPI

Valley Emergency Medical Services, Inc

  • Ambulance
  • Seymour, CT
National Provider Identifier
1841486867
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C037P1 Issued in CT
Legal business name
VALLEY EMERGENCY MEDICAL SERVICES, INC
Practice address
764 Derby Ave
Seymour, CT 06483-2412
Phone
(203) 308-2332
NPI assigned
Sep 24, 2007
Last updated
May 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Authorized official

Name
Dawn Macharelli
Title
Director of Operations
Phone
(203) 437-0309

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C037P1 CT Primary

Addresses

Primary practice location

764 Derby Ave
Seymour, CT 06483-2412

Mailing address

764 Derby Ave
Seymour, CT 06483-2412
Phone (203) 308-2332

Other identifiers 4

IdentifierTypeStateIssuer
710C037B5CT01OtherCTANTHEM
D300028119OtherCTMEDICARE B
Z09870OtherCTHEALTHNET
004065413MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130221000506 CT Part B Supplier - Ambulance Service Supplier 7113106246 Practice locations: Seymour, CT

National Provider Directory

National Provider Directory

Locations

230 Beaver St
Ansonia, CT 06401

764 Derby Ave
Seymour, CT 06483
Phone (203) 308-2332

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1841486867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 DERBY AVE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832412",
            "telephone_number": "203-308-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 DERBY AVE",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832412",
            "telephone_number": "203-308-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY EMERGENCY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A",
        "authorized_official_last_name": "MACHARELLI",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "203-437-0309"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C037P1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "710C037B5CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE B",
            "identifier": "D300028119",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "Z09870",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004065413",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.