EAST WINDSOR AMBULANCE ASSOC
NPI 1114919305
Ambulance - Land Transport in East Windsor, CT

NPI Status: Active since August 16, 2005

Contact Information

25 SCHOOL ST
EAST WINDSOR, CT
ZIP 06088
Phone: (860) 654-0515
Fax: (860) 623-5289

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  • Organization
  • Ambulance
  • Land Transport
  • CLIA Number: 07D2316984
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 01-15-2027

About EAST WINDSOR AMBULANCE ASSOC

This page provides the complete NPI Profile along with additional information for East Windsor Ambulance Assoc, a provider established in East Windsor, Connecticut operating as a Ambulance, focusing in land transport . The healthcare provider is registered in the NPI registry with number 1114919305 assigned on August 2005. The practitioner's primary taxonomy code is 3416L0300X with license number C047P1 (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 Mr. Thomas J Clynch Iii (Ambulance Chief)

NPI
1114919305
Provider Name
EAST WINDSOR AMBULANCE ASSOC
Entity Type
Organization
Location Address
25 SCHOOL ST EAST WINDSOR, CT 06088
Location Phone
(860) 654-0515
Location Fax
(860) 623-5289
Mailing Address
PO BOX 188 EAST WINDSOR, CT 06088
Mailing Phone
(860) 654-0515
Mailing Fax
(860) 623-5289
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-16-2005
Last Update Date
03-15-2012
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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.
C047P1
License State
CT

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1341600000XTransportation Services

Ambulance

(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.

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

MR. THOMAS J CLYNCH III

Authorized Official Title
AMBULANCE CHIEF
Authorized Official Phone
(860) 654-0515

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
004138055MEDICAID (05)CT 
104834400OTHER (01)DEPT OF LABOR
=========00OTHER (01)TRICARE
590009265OTHER (01)RAILROAD MEDICARE
590000144MEDICARE ID-TYPE UNSPECIFIED (04) 
777989OTHER (01)CONNECTICARE

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
07D2316984
Facility Type
Ambulance
Certificate Effective Date
January 16, 2025
Certificate Expiration Date
January 15, 2027
Laboratory Director
CHARLES L. ROODE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to East Windsor Ambulance Assoc 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.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114919305, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 1 + 8 + 1 + 1 + 8 + 3 + 0 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1114919305.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Ambulance
25 SCHOOL ST
EAST WINDOSR, CT 06088

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114919305, enumerated as an "organization" on August 16, 2005.

The provider is located at 25 SCHOOL ST EAST WINDSOR, CT 06088 and the phone number is (860) 654-0515.

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

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