ROY B PETTENGILL AMB ASSOC (NPI# 1750379293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750379293 |
Entity Type | Organization |
Organization Name | ROY B PETTENGILL AMB ASSOC |
Practice Address |
10 Hebron Ave Marlborough CT 06447-1201 |
Mailing Address |
Po Box 290184 Wethersfield CT 06129-0184 |
Practice Telephone | 8602956219 |
Practice Fax Number | 8602950604 |
Mailing Telephone | 8004528191 |
Mailing Fax Number | 8607216362 |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. HEATHER M LIZOTTE (AUTHORIZED AGENT) |
Authorized Official Telephone | 8004528191 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
C079B1 | CT | Transportation Services |
Street Address |
10 HEBRON AVE |
City | MARLBOROUGH |
State | CT |
Zip Code | 06447-1201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154808616 | Michael D. Reife Dc LLC | Chiropractor | 8 Independence Dr Ste 2, Marlborough, CT 06447 | 2018-07-26 |
1164976346 | Life As It Happens Counseling, LLC | Counselor | 11 South Main St. Ste 5, Marlborough, CT 06447 | 2016-08-05 |
1710383500 | Awakenings Counseling, LLC | Marriage & Family Therapist | 5 Austin Drive, Marlborough, CT 06447 | 2014-11-06 |
1952427494 | Dennis C Hodgdon | Dentist | 6 Lake Road, Marlborough, CT 06447 | 2007-03-22 |
1316005242 | Marlborough Health Care Center.,inc | Skilled Nursing Facility | 85 Stage Harbor Road, Marlborough, CT 06447 | 2006-12-04 |
1588779847 | Thatcher's Pharmcy Inc | Pharmacy | 6 Independence Drive, Marlborough, CT 06447 | 2006-08-20 |
1891730107 | Candace Treadway | Physician Assistant | 14 Jones Hollow Road, Marlborough, CT 06447 | 2006-06-19 |
1396723151 | Douglas K Doran | Dentist | 14 East Hampton Road, Marlborough, CT 06447 | 2006-01-03 |
1467749663 | Total Balnce Center | Community/Behavioral Health | 5 Austin Dr, Marlborough, CT 06447-0331 | 2011-07-08 |
1043495310 | Leonard Louis Wysocki | Psychologist | 49 Finley Hill Rd, Marlborough, CT 06447-1003 | 2008-01-07 |
Find all providers in zip 06447 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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City | MARLBOROUGH |
Zip Code | 06447 |
Please comment or provide details below to improve the information on ROY B PETTENGILL AMB ASSOC.
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.