Active NPI
Valley Emergency Medical Services, Inc
- Ambulance
- Seymour, CT
National Provider Identifier
1841486867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- C037P1
- 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, 2024
- 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
- Dawn Macharelli
- Title
- Director of Operations
- Phone
- (203) 437-0309
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710C037B5CT01 | Other | CT | ANTHEM |
| D300028119 | Other | CT | MEDICARE B |
| Z09870 | Other | CT | HEALTHNET |
| 004065413 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130221000506 | CT | Part B Supplier - Ambulance Service Supplier | 7113106246 | Practice locations: Seymour, CT |
National Provider Directory
National Provider DirectoryLocations
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.