KILLINGWORTH AMBULANCE ASSOCIATION, INC (NPI# 1023048261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023048261 |
| Entity Type | Organization |
| Organization Name | KILLINGWORTH AMBULANCE ASSOCIATION, INC |
| Practice Address |
325 Route 81 Killingworth CT 06419-9999 |
| Mailing Address |
195 Route 80 Killingworth CT 06419-1400 |
| Practice Telephone | 8606633634 |
| Practice Fax Number | 8606633795 |
| Mailing Telephone | 8606633634 |
| Mailing Fax Number | 8606633795 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MR. DANIEL E O'SULLIVAN (PRESIDENT) |
| Authorized Official Telephone | 8606632450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
E5415 | CT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 710C070A2CT01 | 01 |
| CT | 004010492 | 05 | |
| CT | CONNECTICARE | 699842 | 01 |
| CT | RAILROAD MEDICARE | 590014003 | 01 |
| CT | HEALTHNET | CT2195 | 01 |
| Street Address |
325 ROUTE 81 |
| City | KILLINGWORTH |
| State | CT |
| Zip Code | 06419-9999 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689126336 | Geoffrey Etherington | Preventive Medicine | 302 Rte 81, Killingworth, CT 06419 | 2016-10-28 |
| 1497997225 | Beth Zukowski | Skilled Nursing Facility | 150 Schnoor Road, Killingworth, CT 06419 | 2009-03-25 |
| 1154491041 | Ronald E. Wygonik | Dentist | 184 Route 81, Killingworth, CT 06419 | 2006-11-08 |
| 1922119114 | Cynthia Lee Sarris | Social Worker | 46 Granite Hill Rd, Killingworth, CT 06419 | 2006-08-31 |
| 1770190290 | Michelle Ann Serbent | Occupational Therapist | 4 County Rd, Killingworth, CT 06419-1004 | 2020-09-29 |
| 1962752030 | Kelsey Ann Kearns Buttendorf | Counselor | 147 Pond Meadow Rd, Killingworth, CT 06419-1122 | 2012-09-14 |
| 1417467879 | Onecalltherapy,llc | Clinic/Center | 193 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2017-10-11 |
| 1154458545 | Peter Bohuslav Zelinka | Radiology | 221 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2007-02-27 |
| 1255468443 | Jane Elizabeth Robinson | Psychologist | 50 Bethke Rd, Killingworth, CT 06419-1133 | 2007-02-27 |
| 1346516341 | Evr Mental Health Services, LLC | Marriage & Family Therapist | 9 Lovers Ln, Killingworth, CT 06419-1155 | 2012-03-24 |
| Find all providers in zip 06419 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1871951590 | Sherman Volunteer Fire Department | Ambulance | 1 Route 39 N, Sherman, CT 06784-1421 | 2016-02-09 |
| 1255729349 | Bantam Fire Company | Ambulance | 92 Doyle Rd, Bantam, CT 06750-0456 | 2014-12-26 |
| 1972915924 | The Warren Volunteer Fire Company Incorporated | Ambulance | 11 Sackett Hill Rd, Warren, CT 06754-1713 | 2014-05-27 |
| 1033498027 | Wilton Volunteer Ambulance Corps Inc | Ambulance | 234 Danbury Rd, Wilton, CT 06897-4008 | 2011-08-09 |
| 1245553973 | Scotland Volunteer Fire Department Inc | Ambulance | 47 Brook Rd, Scotland, CT 06264 | 2010-03-09 |
| 1720220429 | Bethel Police Department | Ambulance | 49 Plumtrees Rd, Bethel, CT 06801-1616 | 2009-03-27 |
| 1558508879 | New Milford Community Ambulance Corp | Ambulance | 1 Scoville Street, New Milford Community Ambulance Corp, New Milford, CT 06776-0102 | 2009-01-08 |
| 1487837241 | Skmp Enterprises, Inc. | Ambulance | 279 Noble Ave, Bridgeport, CT 06608-2210 | 2007-12-14 |
| Find all providers with the same taxonomy | ||||
| City | KILLINGWORTH |
| Zip Code | 06419 |
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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.