1962493312 NPI number — WATERBURY AMBULANCE SERVICE, INC.

Table of content: DR. ROBERT MICHAEL NAJARIAN M.D. (NPI 1033367966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962493312 NPI number — WATERBURY AMBULANCE SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WATERBURY AMBULANCE SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1962493312
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 95
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WATERBURY CENTER
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05677-0095
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-244-5003
Provider Business Mailing Address Fax Number:
800-802-6803

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1727 GUPTIL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WATERBURY CENTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05677-7094
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-244-5003
Provider Business Practice Location Address Fax Number:
802-244-4929
Provider Enumeration Date:
11/03/2005

Additional Information

Authorized Official

Authorized Official Last Name:
KUEFFNER
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
H
Authorized Official Title or Position:
VICE PRESIDENT
Authorized Official Telephone Number:
802-244-5003

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  0608 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0006444 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com