# WESTBROOK AMBULANCE ASSOCIATION, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386731271
- **Authorized official:** SANDRA CASTLEVETRO (BILLING MANAGER)
- **Authorized official phone:** (860) 663-3634

## Contact information

- **Practice address:** 1316 BOSTON POST RD, WESTBROOK, CT 06498-1972
- **Practice address phone:** (860) 663-3634
- **Practice address fax:** (860) 663-3795
- **Mailing address:** PO BOX 682, WESTBROOK, CT 06498-0682
- **Mailing address phone:** (860) 663-3634
- **Mailing address fax:** (860) 663-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | E4515 | CT | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 732661 | CONNECTICARE | CT |
| 01 | — | CT7461 | HEALTHNET | CT |
