National Provider Identifier Database

MOHEGAN TRIBE OF INDIANS OF CONNECTICUT
Ambulance

An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).


Contact Information

MOHEGAN TRIBE OF INDIANS OF CONNECTICUT
13 CROW HILL RD
UNCASVILLE, CT06382-1118
Phone: 860-862-6110
Fax: 860-862-6140
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for MOHEGAN TRIBE OF INDIANS OF CONNECTICUT

NPI Number 1467442863
Legal business name
LBN
MOHEGAN TRIBE OF INDIANS OF CONNECTICUT
Authorized official MARY GENTILE - (AUTHORIZED AGENT)
Entity Organization
Organization subpart No
Enumeration date 10/26/2005
Last updated 06/19/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: C086P1
  • CT Medicaid: 004185428
  • Other: 590012782 RAILROAD MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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