GRANBY AMBULANCE ASSOCIATION, INCORPORATED
NPI 1265434690
Ambulance in Granby, CT
About Granby Ambulance Association, Incorporated NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GRANBY AMBULANCE ASSOCIATION, INCORPORATED (NPI 1265434690) is a healthcare organization registered as an ambulance in Granby, Connecticut and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through September 3, 2027 and lists Lori Dibattisto, Prestident, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Granby Ambulance Association, Incorporated 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.
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 07D1016646
Granby Ambulance Association · Granby, CTAreas of Expertise CMS Part B claims 4
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 Granby Ambulance Association, Incorporated's NPI number?
The NPI number for Granby Ambulance Association, Incorporated is 1265434690. It was assigned to this organization in the NPPES registry on August 15, 2005.
Where is Granby Ambulance Association, Incorporated located?
Granby Ambulance Association, Incorporated is located at 1 Pegville Road, Granby, CT 06035. The listed phone number is (860) 653-6535.
What is Granby Ambulance Association, Incorporated's specialty?
The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.
Is Granby Ambulance Association, Incorporated enrolled in Medicare?
Yes. Granby Ambulance Association, Incorporated is registered in the Medicare PECOS enrollment system.
When is Granby Ambulance Association, Incorporated'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 Granby Ambulance Association, Incorporated hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D1016646) is associated with this NPI, valid through September 3, 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 Granby Ambulance Association, Incorporated was last updated on June 4, 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.
# Granby Ambulance Association, Incorporated · NPI 1265434690
Ambulance organization in Granby, Connecticut. Organization record, active in the CMS NPPES registry since August 15, 2005.
## Identity
- **NPI:** 1265434690 (Entity type: Organization)
- **Enumerated:** August 15, 2005
- **Primary specialty:** Ambulance · taxonomy 341600000X
- **Organization subpart:** No
- **Authorized official:** Lori Dibattisto, PRESTIDENT
## Practice location
- **Address:** 1 PEGVILLE ROAD, Granby, CT 06035-1615
- **Phone:** (860) 653-6535 · **Fax:** (888) 965-4620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Connecticut, Ambulance Service Supplier) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2020
- **Other identifiers:** Other 590010949; Other 204062000; Other 00414973900; and 3 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1265434690) · Data from the CMS NPPES public registry.