Bethlehem Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

CT123 Issued in CT

Legal business name

BETHLEHEM AMBULANCE ASSOCIATION INC

Practice address

Main St South
Bethlehem, CT 06751

Phone

(203) 266-6666

Fax

(203) 266-6666

NPI assigned

Jun 22, 2005

Last updated

Feb 21, 2012By 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

Susan March

Title

Treasurer

Phone

(203) 266-7890

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1932105293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "address_2": "83 MAIN STREET SOUTH",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "067510401",
            "telephone_number": "203-266-6666",
            "fax_number": "203-266-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN ST SOUTH",
            "city": "BETHLEHEM",
            "state": "CT",
            "postal_code": "06751",
            "telephone_number": "203-266-6666",
            "fax_number": "203-266-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "MARCH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "203-266-7890"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "CT123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniella Alves, PMHNP-BC
• Juliane Armentano
• Beam Therapies
• Charles Barry Beaumont, MD
• Beehive Behavioral Services LLC
• Margaret Biggart
• Roxanne B Bliss, ARNP
• Christopher Roy Boulanger, LPN
• Roger Joseph Branson, M.D.
• Rebecca Caruso, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.