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

Active since May 27, 2005CLIA 07D2288755 · Waiver
149 DENNISON ROAD, CENTERBROOK, CT 06409(860) 767-1730(860) 767-7677 Get Directions Write a Review

NPPES record last updated: September 16, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Essex Ambulance Association Incorporated NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSEX AMBULANCE ASSOCIATION INCORPORATED (NPI 1093718611) is a healthcare organization registered as a land transport in Centerbrook, Connecticut and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Judith A Reynolds, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1093718611
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameESSEX AMBULANCE ASSOCIATION INCORPORATED
Location Address149 DENNISON ROADCenterbrook, CT 06409
Mailing AddressPo Box 233Ivoryton, CT 06442-0233 · (860) 767-1730 · Fax (860) 767-7677
Fax(860) 767-7677
Organization SubpartNo
Authorized OfficialJudith A ReynoldsTreasurer · (860) 767-1730
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 16, 2011
NPI 1093718611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License Licensed in CT · C050B1
149 DENNISON ROAD, Centerbrook, CT 06409

Other Identifiers 2

Medicaid004010617CT
Medicare PIN590000091CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2288755

Essex Ambulance Association Incorporated · Essex, CT
Active · expires Aug 29, 2027
CLIA Number07D2288755
Laboratory TypeAmbulance
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorJudith A. Reynolds
Laboratory Phone(860) 767-1730
Laboratory LocationEssex Ambulance Association Incorporated149 Dennison Road, Essex, CT 06426
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ground mileage, per statute mile A0425
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.
1,966 services202 patients
Ambulance service, basic life support, emergency transport (bls-emergency) A0429
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.
222 services142 patients
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) A0427
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.
100 services87 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093718611, enumerated 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.

Ambulance with taxonomy code 3416L0300X and a focus in Land Transport.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.