Provider Demographics
NPI:1053301515
Name:NEW HARTFORD VOLUNTEER AMBULANCE ASSOCIATION INC
Entity Type:Organization
Organization Name:NEW HARTFORD VOLUNTEER AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:H
Authorized Official - Last Name:PATCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-379-6060
Mailing Address - Street 1:269 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2361
Mailing Address - Country:US
Mailing Address - Phone:860-638-1800
Mailing Address - Fax:
Practice Address - Street 1:12B GREENWOODS RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06057-2207
Practice Address - Country:US
Practice Address - Phone:860-379-6060
Practice Address - Fax:860-379-3699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC092I1341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT590012296OtherRAILROAD MEDICARE
CT004126779Medicaid
CT590000128Medicare PIN
CT590012296OtherRAILROAD MEDICARE