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Contact Information

STAFFORD AMBULANCE ASSOCIATION INC.
27 WILLINGTON AVE
STAFFORD SPRINGS, CT06076-1620
 Phone: 860-668-3885
 Fax: 860-668-3885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for STAFFORD AMBULANCE ASSOCIATION INC.

NPI # 1215929401
LBN Legal business name STAFFORD AMBULANCE ASSOCIATION INC.
Authorized official ALEXANDER MOORE - (AMBULANCE CHIEF)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2005
Last updated 04/18/2013 - About 13 years ago
Identifiers
CT License # C134B1
CT Medicaid 004142890
Other 00414289000 BLUE CARE FAMILY
Other 784671 CONNECTICARE
Other 105028000 DEPT OF LABOR
CT Other 710C134A2CT01 ANTHEM BLUE CROSS BS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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