American Legion Community Ambulance Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

AMERICAN LEGION COMMUNITY AMBULANCE INC

Doing business as

Griswold American Legion Ambulance

Practice address

20 Soule St
Jewett City, CT 06351-2217

Phone

(860) 376-3080

Fax

(860) 376-7703

NPI assigned

Jul 22, 2005

Last updated

Sep 22, 2010By 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

Bill Czmyr

Title

President

Phone

(860) 376-3080

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GRISWOLD AMERICAN LEGION AMBULANCE Doing business as

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1992705743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SOULE ST",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063512217",
            "telephone_number": "860-376-3080",
            "fax_number": "860-376-7703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN LEGION COMMUNITY AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "CZMYR",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-376-3080"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "Z09748",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004110144",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C058B1CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590008427",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRISWOLD AMERICAN LEGION AMBULANCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Jewett City, CT
• Providers in Jewett City, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.