Thomaston Volunteer Ambulance Corps Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C140B1 Issued in CT

Legal business name

THOMASTON VOLUNTEER AMBULANCE CORPS INC

Practice address

237 South Main St
Thomaston, CT 06787-1813

Phone

(860) 283-6348

Fax

(860) 283-6703

NPI assigned

Oct 10, 2005

Last updated

Apr 27, 2009By 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

Mrs. Mary T Gentile

Title

Authorized Agent

Phone

(800) 452-8191

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1851389241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 SOUTH MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871813",
            "telephone_number": "860-283-6348",
            "fax_number": "860-283-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASTON VOLUNTEER AMBULANCE CORPS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C140B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004219798",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590015088",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomaston Dental Associates PLLC
• Thomaston Family Dental, LLC
• Thomaston Pharmacy PLLC
• Thomaston Physical Therapy, LLC
• Thomaston Senior Center
• Renea Michelle Tirrell, LADC
• Samantha C Turner, LPC
• Walgreen Co (Walgreens #17899)
• Kiersten Rebecca Wamser, LCSW
• Timothy Ross Whelan, D.C.

• Ambulance in Thomaston, CT
• Providers in Thomaston, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.