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BRISTOL HOSPITAL EMS, LLC
NPI 1184615684
Ambulance - Land Transport in Bristol, CT

Active since November 03, 2005CLIA 07D2141644 · Waiver
371 TERRYVILLE AVE, BRISTOL, CT 06010(860) 585-3679(860) 585-3110 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2023, Jul 14, 2021, Mar 2, 2021 and 3 more (6 updates tracked since 2016).

About Bristol Hospital Ems, Llc NPPES

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

BRISTOL HOSPITAL EMS, LLC (NPI 1184615684) is a healthcare organization registered as a land transport in Bristol, Connecticut and active in the NPI registry since November 2005. The organization holds a CLIA Waiver certificate valid through December 18, 2027 and lists Timothy A Ajayi, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184615684
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameBRISTOL HOSPITAL EMS, LLC
Location Address371 TERRYVILLE AVEBristol, CT 06010-4029
Mailing Address371 Terryville AveBristol, CT 06010-4029 · (860) 585-3157 · Fax (860) 585-3110
Phone(860) 585-3679
Fax(860) 585-3110
Organization SubpartNo
Authorized OfficialTimothy A AjayiCfo · (860) 585-3024
Enumeration DateNovember 3, 2005
Last NPPES UpdateOctober 10, 20236 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1184615684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
Also ListedAmbulanceTaxonomy 341600000X · License L017P2 (CT)
371 TERRYVILLE AVE, Bristol, CT 06010
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Other Identifiers 1

Medicaid004201117CT

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 07D2141644

Bristol Hospital Ems, LLC · Bristol, CT
Active · expires Dec 18, 2027
CLIA Number07D2141644
Laboratory TypeAmbulance
Certificate Effective DateDecember 19, 2025
Certificate Expiration DateDecember 18, 2027
Laboratory DirectorDavid B. Koscuk
Laboratory Phone(860) 585-3679
Laboratory LocationBristol Hospital Ems, LLC371 Terryville Ave, Bristol, CT 06010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 7

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.
13,985 services1,018 patients
Ambulance service, basic life support, non-emergency transport, (bls) A0428
Basic Life Support (BLS) non-emergency ambulance service provides safe transportation for patients who don't need immediate medical attention. It includes monitoring vital signs, ensuring comfort, and administering basic care during transport.
969 services458 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.
888 services514 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.
698 services475 patients
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) A0426
Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) is a medical transportation service for patients who don't have an immediate life-threatening condition but require advanced medical monitoring or interventions during the journey.
110 services78 patients
Advanced life support, level 2 (als 2) A0433
Advanced Life Support Level 2 (ALS 2) is a medical service provided during emergencies. It involves advanced procedures like defibrillation, medication administration or endotracheal intubation by trained professionals to stabilize critical patients.
17 services17 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 Bristol Hospital Ems, LLC's NPI number?

The NPI number for Bristol Hospital Ems, LLC is 1184615684. It was assigned to this organization in the NPPES registry on November 3, 2005.

Where is Bristol Hospital Ems, LLC located?

Bristol Hospital Ems, LLC is located at 371 Terryville Ave, Bristol, CT 06010. The listed phone number is (860) 585-3679.

What is Bristol Hospital Ems, LLC's specialty?

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

Does Bristol Hospital Ems, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2141644) is associated with this NPI, valid through December 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bristol Hospital Ems, LLC was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.