Provider Demographics
NPI:1679225023
Name:LYME AMBULANCE ASSOCIATION, INC.
Entity Type:Organization
Organization Name:LYME AMBULANCE ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF SERVICE
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:OLSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-434-7225
Mailing Address - Street 1:PO BOX 911
Mailing Address - Street 2:
Mailing Address - City:HADLYME
Mailing Address - State:CT
Mailing Address - Zip Code:06439-0490
Mailing Address - Country:US
Mailing Address - Phone:860-434-7225
Mailing Address - Fax:
Practice Address - Street 1:213 HAMBURG RD
Practice Address - Street 2:
Practice Address - City:LYME
Practice Address - State:CT
Practice Address - Zip Code:06371-3419
Practice Address - Country:US
Practice Address - Phone:860-434-7225
Practice Address - Fax:860-452-4430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport