Organization Active NPI

Windsor Volunteer Ambulance Inc

  • Land Ambulance
  • Windsor, CT
National Provider Identifier
1912995374
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
WINDSOR VOLUNTEER AMBULANCE INC
Doing business as
Windsor EMS
Practice address
340 Bloomfield Ave
Windsor, CT 06095-7211
Phone
(860) 688-8244
Fax
(860) 688-8891
NPI assigned
Oct 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Daniel Moylan
Title
Chief
Phone
(860) 688-8244

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C164P1 CT
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

340 Bloomfield Ave
Windsor, CT 06095-7211

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other identifiers 2

IdentifierTypeStateIssuer
P00039327OtherRAILROAD MEDICARE
004105450MedicaidCT

Other names 1

  • Windsor EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060510000072 CT Part B Supplier - Ambulance Service Supplier 0244284560 Practice locations: Windsor, CT

National Provider Directory

National Provider Directory

Locations

340 Bloomfield Ave
Windsor, CT 06095
Phone (860) 688-8244

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1912995374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BLOOMFIELD AVE",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060957211",
            "telephone_number": "860-688-8244",
            "fax_number": "860-688-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR VOLUNTEER AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "860-688-8244"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C164P1",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00039327",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004105450",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsor EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Windsor, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.