Provider Demographics
NPI:1841486867
Name:VALLEY EMERGENCY MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:VALLEY EMERGENCY MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-437-0309
Mailing Address - Street 1:764 DERBY AVE
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-2412
Mailing Address - Country:US
Mailing Address - Phone:203-308-2332
Mailing Address - Fax:
Practice Address - Street 1:764 DERBY AVE
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-2412
Practice Address - Country:US
Practice Address - Phone:203-308-2332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-24
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC037P1341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT710C037B5CT01OtherANTHEM
CTZ09870OtherHEALTHNET
CT004065413Medicaid
CTD300028119OtherMEDICARE B