AMERICAN LEGION COMMUNITY AMBULANCE INC (NPI# 1992705743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992705743 |
| Entity Type | Organization |
| Organization Name | AMERICAN LEGION COMMUNITY AMBULANCE INC |
| Other Organization Name | GRISWOLD AMERICAN LEGION AMBULANCE |
| Practice Address |
20 Soule St Jewett City CT 06351-2217 |
| Mailing Address |
269 Main St Cromwell CT 06416-2302 |
| Practice Telephone | 8603763080 |
| Practice Fax Number | 8603767703 |
| Mailing Telephone | 8606381800 |
| Mailing Fax Number | 8606381802 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2010-09-22 |
| Authorized Official Name | BILL CZMYR (PRESIDENT) |
| Authorized Official Telephone | 8603763080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004110144 | 05 | |
| RAILROAD MEDICARE | 590008427 | 01 | |
| BLUE CROSS/BLUE SHIELD | 710C058B1CT01 | 01 | |
| HEALTHNET | Z09748 | 01 |
| Other Name | Type Code |
|---|---|
| GRISWOLD AMERICAN LEGION AMBULANCE | Doing Business As Name - Organization |
| Street Address |
20 SOULE ST |
| City | JEWETT CITY |
| State | CT |
| Zip Code | 06351-2217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1750554788 | Lisbon Central School | Local Education Agency (LEA) | 15 Newent Road, Lisbon, CT 06351 | 2008-04-10 |
| 1699953729 | Joel Zuckerbraun Odpl | Optometrist | 8 North Main Street, Jewett City, CT 06351 | 2008-01-31 |
| 1275542219 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2 B Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1841260106 | Sasha B Campbell | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-01-26 |
| 1316296502 | Kelsey Lyn Joslyn | Counselor | 226 E Main St, Griswold, CT 06351 | 2012-09-04 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1952310955 | Penny Anne Allyn | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1578572574 | Audrey Jo Traylor | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1265434583 | Mark David Deponte | Family Medicine | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| Find all providers in zip 06351 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 1487837241 | Skmp Enterprises, Inc. | Ambulance | 279 Noble Ave, Bridgeport, CT 06608-2210 | 2007-12-14 |
| Find all providers with the same taxonomy | ||||
| City | JEWETT CITY |
| Zip Code | 06351 |
Please comment or provide details below to improve the information on AMERICAN LEGION COMMUNITY AMBULANCE INC.
| 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.