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GRANBY AMBULANCE ASSOCIATION, INCORPORATED
NPI 1265434690
Ambulance in Granby, CT

Active since August 15, 2005CLIA 07D1016646 · Waiver
1 PEGVILLE ROAD, GRANBY, CT 06035(860) 653-6535(888) 965-4620 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2020, Mar 30, 2020 (2 updates tracked since 2020).

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

NPI1265434690
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameGRANBY AMBULANCE ASSOCIATION, INCORPORATED
Location Address1 PEGVILLE ROADGranby, CT 06035-1615
Mailing Address1 Pegville RoadGranby, CT 06035-1615 · (860) 653-6535 · Fax (888) 965-4620
Phone(860) 653-6535
Fax(888) 965-4620
Organization SubpartNo
Authorized OfficialLori DibattistoPrestident · (860) 653-6535
Enumeration DateAugust 15, 2005
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
✔ NPI 1265434690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in CT · C056B1
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
Also ListedAmbulance · Land TransportTaxonomy 3416L0300X
1 PEGVILLE ROAD, Granby, CT 06035
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Other Identifiers 6

Other590010949Railroad Medicare
Other204062000Dept Of Labor
Other00414973900Blue Care Family
Medicaid004149739CT
Other706607Connecticare
Other710C056B1CT01CT · Anthem Bcbs

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, CT
Active · expires Sep 3, 2027
CLIA Number07D1016646
Laboratory TypeAmbulance
Certificate Effective DateSeptember 4, 2025
Certificate Expiration DateSeptember 3, 2027
Laboratory DirectorKatherine A. Coupe
Laboratory Phone(860) 653-6535
Laboratory LocationGranby Ambulance Association1 Pegville Road, Granby, CT 06035
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 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.

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.
6,771 services280 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.
243 services188 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.
144 services114 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.
13 services13 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 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.

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.