Town of Coventry

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C-032B2 Issued in CT

Legal business name

TOWN OF COVENTRY

Doing business as

Town of Coventry Fire/EMS

Practice address

1712 Main St
Coventry, CT 06238-3615

Phone

(860) 531-2563

Fax

(860) 742-8911

NPI assigned

Feb 22, 2017

Last updated

Jun 6, 2019By 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

Mr. John Elsesser

Title

Town Manager

Phone

(860) 742-6324

Specialties & licenses 2

Addresses

Other names 1

• Town of Coventry Fire/EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1912446956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383615",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383615",
            "telephone_number": "860-531-2563",
            "fax_number": "860-742-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COVENTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-22",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "ELSESSER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "860-742-6324",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C-032B2",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C-032B2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Coventry Fire/EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Town of Coventry Fire/EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linda L Starr
• The Connection Inc
• The Coventry Volunteer Fire Association Incorporated
• Jennifer Therian, LMFT
• TLC Healthcare Solutions LLC
• Karen Valrie Vassell
• Erika Visinski, MSN, FNP-C
• Nicole Marilyn Wagschal, MSN APRN
• Walgreen Co (Walgreens #11919)
• Whole Life Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.