ESSEX AMBULANCE ASSOCIATION INCORPORATED
NPI 1093718611
Ambulance - Land Transport in Centerbrook, CT

NPI Status: Active since May 27, 2005

Contact Information

149 DENNISON ROAD
CENTERBROOK, CT
ZIP 06409
Phone: (860) 767-1730
Fax: (860) 767-7677

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 07D2288755
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 08-29-2025

About ESSEX AMBULANCE ASSOCIATION INCORPORATED

This page provides the complete NPI Profile along with additional information for Essex Ambulance Association Incorporated, a provider established in Centerbrook, Connecticut operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1093718611 assigned on May 2005. The practitioner's primary taxonomy code is 3416L0300X with license number C050B1 (CT). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Ms. Judith A Reynolds (Treasurer)

NPI
1093718611
Provider Name
ESSEX AMBULANCE ASSOCIATION INCORPORATED
Entity Type
Organization
Location Address
149 DENNISON ROAD CENTERBROOK, CT 06409
Location Phone
(860) 767-1730
Location Fax
(860) 767-7677
Mailing Address
PO BOX 233 IVORYTON, CT 06442
Mailing Phone
(860) 767-1730
Mailing Fax
(860) 767-7677
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-27-2005
Last Update Date
09-16-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ambulance Land Transport

Taxonomy Code
3416L0300X
Type
Transportation Services
License No.
C050B1
License State
CT

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. JUDITH A REYNOLDS

Authorized Official Title
TREASURER
Authorized Official Phone
(860) 767-1730

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
004010617MEDICAID (05)CT 
590000091MEDICARE PIN (08)CT 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

Ambulance Service, Advanced Life Support, Level 1 (ALS 1 - Emergency) is a critical care transport service for emergency situations. It includes a team of healthcare professionals equipped with advanced skills and tools to manage life-threatening conditions during transport.

This service was performed 89 times for 72 patients

Ambulance service, basic life support, emergency transport (bls-emergency)

Ambulance service with basic life support (BLS-Emergency) provides immediate transport for patients in critical situations. Medical professionals on board deliver essential care like CPR, wound dressing, and oxygen therapy to stabilize patients during the journey.

This service was performed 192 times for 140 patients

Ground mileage, per statute mile

Ground mileage per statute mile is a method of calculating the cost of transportation for medical services. It is used when a patient needs to be transported by ground ambulance. The cost is calculated per mile, from the pick-up location to the medical facility.

This service was performed 1,627 times for 193 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
07D2288755
Facility Type
Ambulance
Certificate Effective Date
August 30, 2023
Certificate Expiration Date
August 29, 2025
Laboratory Director
JUDITH A. REYNOLDS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Essex Ambulance Association Incorporated to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for ESSEX AMBULANCE ASSOCIATION INCORPORATED

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093718611
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201831411662
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 4 + 1 + 1 + 6 + 6 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1093718611 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093718611, enumerated in the NPI registry as an "organization" on May 27, 2005

The provider is located at 149 Dennison Road Centerbrook, Ct 06409 and the phone number is (860) 767-1730

This medical organization specializes in Ambulance with taxonomy code 3416L0300X with a focus in Land Transport

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The most common procedures or services performed by this practitioner are: Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency), Ambulance service, basic life support, emergency transport (bls-emergency) and Ground mileage, per statute mile.

The provider's CLIA number is 07D2288755 for a "ambulance" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 27, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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