Mystic River Ambulance Association, Inc

LBN: Mystic River Ambulance Association, Inc
Mystic River Ambulance Association, Inc is an health care organization with primary practice located at 237 Sandy Hollow Rd , Mystic CT 06355-1617. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Mystic River Ambulance Association, Inc can be contacted via phone (860) 572-0581, or through Clarkin, Christopher via phone (860) 572-0581.

Contact Information

Primary practice address
237 Sandy Hollow Rd Mystic CT 06355-1617
Phone: (860) 572-0581
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Clarkin, Christopher
Phone: (860) 572-0581

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X

Profile Details

NPI number 1699760249
LBN Legal business name Mystic River Ambulance Association, Inc
DBA Doing business as
Authorized official Clarkin, Christopher
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2005
Last updated Sep 22nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699760249 NPPES
Connecticut MEDICAID 004116093
Connecticut Other 590006767
Connecticut Other 710C137B1CT01
Connecticut Other CT0795

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