SEYMOUR AMBULANCE ASSOCIATION INC (NPI# 1942273123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942273123 |
Entity Type | Organization |
Organization Name | SEYMOUR AMBULANCE ASSOCIATION INC |
Practice Address |
4 Wakeley St Seymour CT 06483-2820 |
Practice Telephone | 2038888843 |
Practice Fax Number | 2038815018 |
Mailing Telephone | 2038888843 |
Mailing Fax Number | 2038815018 |
Enumeration Date | 2006-02-09 |
Last Update Date | 2016-08-16 |
Authorized Official Name | KYLE KELLEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 2038888843 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 341600000X | Ambulance | C124I1 | CT | Transportation Services |
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
C124I1 | CT | Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004125664 | 05 | |
CT | BLUE CROSS/BLUE SHIELD | 710C124I1CT01 | 01 |
CT | RR MEDICARE | P00367360 | 01 |
HEALTHNET | CU0589 | 01 | |
CT | CONNECTICARE | 759084 | 01 |
Street Address |
4 WAKELEY ST |
City | SEYMOUR |
State | CT |
Zip Code | 06483-2820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255847851 | Erica Kelly | Occupational Therapist | 17 Sagamore Drive, Seymour, CT 06483 | 2017-12-18 |
1588938831 | Kerri Ann Anderson | Marriage & Family Therapist | 100 Bank Street., Ste 306, Seymour, CT 06483 | 2012-03-05 |
1326311325 | Elizabeth Schenker | Social Worker | 40 Rimmon St., Seymour, CT 06483 | 2012-02-22 |
1962647594 | Irwin F. Silver | Dentist | 256 Bank St, Seymour, CT 06483 | 2008-12-11 |
1932325669 | Rimmon Pond Counseling LLC | Counselor | 100 Bank Street, Suite 306, Seymour, CT 06483 | 2007-04-18 |
1235608811 | Grey Brook Associates, LLC | Counselor | 377 Main Street, C/o Shoreline Center, West Haven, CT 06483 | 2018-11-13 |
1245648401 | Olga Romanovsky | Optometrist | 25 New Haven Rd, Seymour, CT 06483 | 2014-07-31 |
1619252400 | Susan P Sidway | Marriage & Family Therapist | 100 Bank Street, Suite 306, Seymour, CT 06483 | 2011-10-12 |
1942345350 | Mary E Kruger | Marriage & Family Therapist | 100 Bank St, Suite 306 Rimmon Pond Counseling LLC, Seymour, CT 06483 | 2007-02-21 |
1861575490 | Andrew Kurjanowicz | Dentist | 135 Main Street, Seymour, CT 06483 | 2006-10-24 |
Find all providers in zip 06483 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.