Provider Demographics
NPI:1356331813
Name:NEWINGTON VOLUNTEER AMBULANCE CORPS INCORPORATED
Entity Type:Organization
Organization Name:NEWINGTON VOLUNTEER AMBULANCE CORPS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:JEHNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-667-5825
Mailing Address - Street 1:1105 SCHROCK RD
Mailing Address - Street 2:SUITE 610
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1146
Mailing Address - Country:US
Mailing Address - Phone:888-317-3744
Mailing Address - Fax:614-987-2075
Practice Address - Street 1:71 JOHN STEWART
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-3126
Practice Address - Country:US
Practice Address - Phone:860-667-5825
Practice Address - Fax:860-594-4148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2010-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC094P1341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590007967OtherRAILROAD MEDICARE
CT004131778Medicaid
CT004131778Medicaid