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AETNA AMBULANCE SERVICE, INC
NPI 1194842781
Ambulance - Land Transport in Hartford, CT

Active since March 26, 2007CLIA 07D2113910 · Waiver
140 VAN BLOCK AVE, HARTFORD, CT 06106(860) 247-6792(860) 724-3384 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Aetna Ambulance Service, Inc NPPES

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

AETNA AMBULANCE SERVICE, INC (NPI 1194842781) is a healthcare organization registered as a land transport in Hartford, Connecticut and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through June 1, 2028 and lists Wayne Alfred Wright, President, as its authorized official.

NPPES Registry Identity

NPI1194842781
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameAETNA AMBULANCE SERVICE, INC
Location Address140 VAN BLOCK AVEHartford, CT 06106-2845
Mailing AddressPo Box 1150Manchester, CT 06045-1150 · (860) 240-7575 · Fax (860) 643-0759
Phone(860) 247-6792
Fax(860) 724-3384
Organization SubpartNo
Authorized OfficialWayne Alfred WrightPresident · (860) 647-9798
Enumeration DateMarch 26, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1194842781 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 · L064P2
140 VAN BLOCK AVE, Hartford, CT 06106
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified590000001CT · Medicare
Medicaid004072120CT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aetna Ambulance Service, Inc 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 IDO20060403000167Non-DME Part B · Ambulance Service SupplierDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 07D2113910

Aetna Ambulance Service, Inc · Hartford, CT
Active · expires Jun 1, 2028
CLIA Number07D2113910
Laboratory TypeAmbulance
Certificate Effective DateJune 2, 2026
Certificate Expiration DateJune 1, 2028
Laboratory DirectorMatthew Campbell
Laboratory Phone(860) 647-9798
Laboratory LocationAetna Ambulance Service, Inc140 Van Block Ave, Hartford, CT 06114
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.
74,021 services3,845 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.
5,043 services2,902 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.
1,169 services754 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.
973 services767 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.
79 services76 patients
Specialty care transport (sct) A0434
Specialty Care Transport (SCT) is a level of medical transport service for critically ill or injured patients. It involves healthcare professionals with advanced skills and equipment to provide continuous care during transport, ensuring patient's safety and well-being.
43 services43 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 Aetna Ambulance Service, Inc's NPI number?

The NPI number for Aetna Ambulance Service, Inc is 1194842781. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Aetna Ambulance Service, Inc located?

Aetna Ambulance Service, Inc is located at 140 Van Block Ave, Hartford, CT 06106. The listed phone number is (860) 247-6792.

What is Aetna Ambulance Service, Inc's specialty?

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

Is Aetna Ambulance Service, Inc enrolled in Medicare?

Yes. Aetna Ambulance Service, Inc is registered in the Medicare PECOS enrollment system.

When is Aetna Ambulance Service, 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 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.

Does Aetna Ambulance Service, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2113910) is associated with this NPI, valid through June 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Aetna Ambulance Service, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Aetna Ambulance Service, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aetna Ambulance Service, Inc was last updated on May 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.