Organization
WOODBURY AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE L SLIVINSKI (PRESIDENT)
(203) 263-5252
Entity
Organization
Contact information
Practice address
426 MAIN ST N, WOODBURY, CT 06798-2128
(203) 263-5252
Mailing address
PO BOX 131, BEACON FALLS, CT 06403-0131
(203) 729-2800
(203) 729-2808
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004173457
—
CT
01
—
710C168A2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CU6042
HEALTHNET
—
Enumeration date
02/10/2006
Last updated
09/11/2013
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