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TOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS
NPI 1154394336
Ambulance - Land Transport in Terryville, CT

Active since February 09, 2006
191 MAIN ST, TERRYVILLE, CT 06786(860) 584-5370(860) 589-8554 Get Directions Write a Review

NPPES record last updated: September 21, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Town Of Plymouth Volunteer Ambulance Corps NPPES

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

TOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS (NPI 1154394336) is a healthcare organization registered as a land transport in Terryville, Connecticut and active in the NPI registry since February 2006. The organization lists Lani Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1154394336
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameTOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS
Location Address191 MAIN STTerryville, CT 06786-6219
Mailing Address269 Main StCromwell, CT 06416-2302 · (860) 638-1800 · Fax (860) 638-1802
Phone(860) 584-5370
Fax(860) 589-8554
Organization SubpartNo
Authorized OfficialLani JohnsonPresident · (860) 584-5370
Enumeration DateFebruary 9, 2006
Last NPPES UpdateSeptember 21, 2010
✔ NPI 1154394336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
191 MAIN ST, Terryville, CT 06786
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Other Identifiers 4

Medicare ID-Type Unspecified590000193CT
Other710C111A2CT01CT · Blue Cross/blue Shield
Medicaid004194817CT
OtherCU9362Healthnet

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Town Of Plymouth Volunteer Ambulance Corps is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

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.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20100311000093Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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.

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.
1,246 services122 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.
151 services104 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.
27 services25 patients

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 Town Of Plymouth Volunteer Ambulance Corps's NPI number?

The NPI number for Town Of Plymouth Volunteer Ambulance Corps is 1154394336. It was assigned to this organization in the NPPES registry on February 9, 2006.

Where is Town Of Plymouth Volunteer Ambulance Corps located?

Town Of Plymouth Volunteer Ambulance Corps is located at 191 Main St, Terryville, CT 06786. The listed phone number is (860) 584-5370.

What is Town Of Plymouth Volunteer Ambulance Corps's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

Is Town Of Plymouth Volunteer Ambulance Corps enrolled in Medicare?

Yes. Town Of Plymouth Volunteer Ambulance Corps is registered in the Medicare PECOS enrollment system.

When is Town Of Plymouth Volunteer Ambulance Corps'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 March 31, 2027. 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 Town Of Plymouth Volunteer Ambulance Corps was last updated on September 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.