Town of Enfield Board of Education

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C049P1 Issued in CT

Legal business name

TOWN OF ENFIELD BOARD OF EDUCATION

Practice address

1296 Enfield St
Enfield, CT 06082-4912

Phone

(860) 253-5243

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Gary Wiemokly

Title

EMS Director

Phone

(860) 253-2543

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• TOWN OF ENFIELD EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Tax ID family

Enfield Adult Day Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Enfield Public Schools

  • Local Education Agency (LEA)
  • Enfield, CT
  • NPI 1093803165
  NPD tax ID
• Town of Enfield

  • Adult Day Care Clinic/Center
  • Enfield, CT
  • NPI 1063639979
  NPD tax ID

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1942313440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "address_2": "C/O COMSTAR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "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": "1296 ENFIELD ST",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824912",
            "telephone_number": "860-253-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ENFIELD BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "WIEMOKLY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "860-253-2543"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C049P1",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C049P1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "710C049B1CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00238538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY",
            "identifier": "710C049B1CT01",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004243622",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR",
            "identifier": "611447600",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "661997",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN OF ENFIELD EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madison E Tonkin
• Tony Hill DMD Inc
• Angelys Torres
• Barbara Tortora-Grochowski, PT
• Town of Enfield
• Transformative Occupational Therapy and Consulting LLC
• Peter F Traygis, LO
• Tara B Trigg, MS
• Robert Angelo Trimani, PHARMD
• Allison A Trombley

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2016; 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.