AMBULANCE SERVICE OF MANCHESTER, LLC (NPI# 1063529741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063529741 |
| Entity Type | Organization |
| Organization Name | AMBULANCE SERVICE OF MANCHESTER, LLC |
| Practice Address |
275 New State Rd Manchester CT 06042-1810 |
| Mailing Address |
Po Box 300 Manchester CT 06045-0300 |
| Practice Telephone | 8606479798 |
| Practice Fax Number | 8606458738 |
| Mailing Telephone | 8606479798 |
| Mailing Fax Number | 8606458738 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-05-14 |
| Authorized Official Name | MR. WAYNE ALFRED WRIGHT (PRESIDENT) |
| Authorized Official Telephone | 8606479798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
L077P2 | CT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004205052 | 05 |
| Street Address |
275 NEW STATE RD |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669680955 | Metro Wheelchair Service, Inc | Non-emergency Medical Transport (VAN) | 275 New State Rd, Manchester, CT 06042-1810 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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 | MANCHESTER |
| Zip Code | 06042 |
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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.