Provider Demographics
NPI:1962403618
Name:HARWINTON AMBULANCE ASSOCIATION INC
Entity type:Organization
Organization Name:HARWINTON AMBULANCE ASSOCIATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRAROTTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-485-0544
Mailing Address - Street 1:195 ROUTE 80
Mailing Address - Street 2:
Mailing Address - City:KILLINGWORTH
Mailing Address - State:CT
Mailing Address - Zip Code:06419-1400
Mailing Address - Country:US
Mailing Address - Phone:860-452-4502
Mailing Address - Fax:860-452-4430
Practice Address - Street 1:166 BURLINGTON RD
Practice Address - Street 2:
Practice Address - City:HARWINTON
Practice Address - State:CT
Practice Address - Zip Code:06791-2008
Practice Address - Country:US
Practice Address - Phone:860-485-0544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004185436Medicaid
590014881OtherRAILROAD MEDICARE
00418543600OtherBLUE CARE FAMILY PLAN
710C066A2CT01OtherBLUE CROSS/BLUE SHIELD
CU4190OtherHEALTHNET
CT004185436Medicaid