Organization
STONINGTON VOLUNTEER AMBULANCE CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHANT SAHOO (VICE PRESIDENT)
(860) 535-3721
Entity
Organization
Contact information
Practice address
84 ALPHA AVE, STONINGTON, CT 06378-1114
(860) 535-3721
(860) 535-3721
Mailing address
195 ROUTE 80, KILLINGWORTH, CT 06419-1400
(860) 452-4502
(860) 452-4430
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004164498
—
CT
01
—
710C137B2CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
CU5433
HEALTHNET
—
Enumeration date
02/09/2006
Last updated
11/14/2022
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