Organization
SEYMOUR AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE KELLEY (EXECUTIVE DIRECTOR)
(203) 888-8843
Entity
Organization
Contact information
Practice address
4 WAKELEY ST, SEYMOUR, CT 06483-2820
(203) 888-8843
(203) 881-5018
Mailing address
4 WAKELEY ST, SEYMOUR, CT 06483-2820
(203) 888-8843
(203) 881-5018
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
C124I1
CT
3416L0300X
Land Ambulance
Primary
C124I1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004125664
—
CT
01
—
710C124I1CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
759084
CONNECTICARE
CT
01
—
CU0589
HEALTHNET
—
01
—
P00367360
RR MEDICARE
CT
Enumeration date
02/09/2006
Last updated
08/16/2016
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