DEEP RIVER AMBULANCE ASSOCIATION, INC
NPI 1104913086
Ambulance in Deep River, CT
About Deep River Ambulance Association, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEEP RIVER AMBULANCE ASSOCIATION, INC (NPI 1104913086) is a healthcare organization registered as an ambulance in Deep River, Connecticut and active in the NPI registry since October 2006. The organization lists Sandra Castlevetro, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deep River Ambulance Association, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Deep River Ambulance Association, Inc's NPI number?
The NPI number for Deep River Ambulance Association, Inc is 1104913086. It was assigned to this organization in the NPPES registry on October 10, 2006.
Where is Deep River Ambulance Association, Inc located?
Deep River Ambulance Association, Inc is located at 284 W Elm St, Deep River, CT 06417. The listed phone number is (860) 663-3634.
What is Deep River Ambulance Association, Inc's specialty?
The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.
Is Deep River Ambulance Association, Inc enrolled in Medicare?
Yes. Deep River Ambulance Association, Inc is registered in the Medicare PECOS enrollment system.
When is Deep River Ambulance Association, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Ambulance Service Supplier) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
When was this NPI record last updated?
The NPPES record for Deep River Ambulance Association, Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Deep River Ambulance Association, Inc · NPI 1104913086
Ambulance organization in Deep River, Connecticut. Organization record, active in the CMS NPPES registry since October 10, 2006.
## Identity
- **NPI:** 1104913086 (Entity type: Organization)
- **Enumerated:** October 10, 2006
- **Primary specialty:** Ambulance · taxonomy 341600000X
- **Organization subpart:** No
- **Authorized official:** Sandra Castlevetro, BILLING MANAGER
## Practice location
- **Address:** 284 W ELM ST, Deep River, CT 06417-1617
- **Phone:** (860) 663-3634 · **Fax:** (860) 663-3795
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Connecticut, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 495263 (CT); Other CT8252 (CT); Other N291876 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1104913086) · Data from the CMS NPPES public registry.