Organization
WESTBROOK AMBULANCE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CASTLEVETRO (BILLING MANAGER)
(860) 663-3634
Entity
Organization
Contact information
Practice address
1316 BOSTON POST RD, WESTBROOK, CT 06498-1972
(860) 663-3634
(860) 663-3795
Mailing address
PO BOX 682, WESTBROOK, CT 06498-0682
(860) 663-3634
(860) 663-3795
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
E4515
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
732661
CONNECTICARE
CT
01
—
CT7461
HEALTHNET
CT
Enumeration date
10/10/2006
Last updated
08/22/2020
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