Organization
MADISON AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL E. DEBURRA JR. (PRESIDENT)
(203) 245-5617
Entity
Organization
Contact information
Practice address
9 OLD ROUTE 79, MADISON, CT 06443-2604
(203) 245-9821
Mailing address
195 ROUTE 80, KILLINGWORTH, CT 06419-1400
(860) 663-3634
(860) 663-3795
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
C076P1
CT
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004084406
—
CT
01
—
590003585
RAILROAD MEDICARE
—
01
—
710C076P1CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CT0849
HEALTHNET
—
Enumeration date
09/19/2005
Last updated
02/16/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up