# WOODBURY AMBULANCE ASSOCIATION INC

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

## Provider details

- **NPI number:** 1689647513
- **Authorized official:** JULIE L SLIVINSKI (PRESIDENT)
- **Authorized official phone:** (203) 263-5252

## Contact information

- **Practice address:** 426 MAIN ST N, WOODBURY, CT 06798-2128
- **Practice address phone:** (203) 263-5252
- **Mailing address:** PO BOX 131, BEACON FALLS, CT 06403-0131
- **Mailing address phone:** (203) 729-2800
- **Mailing address fax:** (203) 729-2808

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 09/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004173457 | — | CT |
| 01 | — | 710C168A2CT01 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | CU6042 | HEALTHNET | — |