Harwinton Ambulance Association Inc
Organization Active NPI Land Ambulance · Harwinton, CT
NPI 1962403618 · NPPES record last updated Mar 14, 2022
Key facts
- NPI
- 1962403618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- HARWINTON AMBULANCE ASSOCIATION INC
- Practice address
- 166 Burlington Rd
Harwinton, CT 06791-2008 - Phone
- (860) 485-0544
- NPI assigned
- Aug 3, 2005
- Organization subpart
- No
Authorized official
- Name
- Kevin Ferrarotti
- Title
- Chief
- Phone
- (860) 485-0544
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 07D2114114 | Harwinton Ambulance Association | Certificate of waiver | Jun 6, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100331000316 | CT | Part B Supplier - Ambulance Service Supplier | 1759417504 | Practice locations: Harwinton, CT |
National Provider Directory
Locations
166 Burlington Rd
Harwinton, CT 06791
Phone (860) 478-5054
158 Burlington Rd
Harwinton, CT 06791
Phone (860) 478-5054
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
166 Burlington Rd
Harwinton, CT 06791-2008
Mailing address
195 Route 80
Killingworth, CT 06419-1400
Phone (860) 452-4502
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004185436 | Medicaid | CT | |
| 590014881 | Other | RAILROAD MEDICARE | |
| 00418543600 | Other | BLUE CARE FAMILY PLAN | |
| 710C066A2CT01 | Other | BLUE CROSS/BLUE SHIELD | |
| CU4190 | Other | HEALTHNET |
Other providers in Harwinton, CT
- Micaela Doyle
- Sara Ashley Fador
- David Larsson French
- Mary C Giarratano
- Emma Gosciminski
- Pamela A. Heuschkel-Eggleston
- Donna L Hudson
- KB Medical Nutrition Therapy LLC
- Danielle Lefebvre
- Limitless Therapy
All providers in Harwinton, CT · Land Ambulance in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.