OLD LYME SOUTH END VOLUNTEER AMBULANCE
NPI 1437149994
Ambulance in Old Lyme, CT
About Old Lyme South End Volunteer Ambulance NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OLD LYME SOUTH END VOLUNTEER AMBULANCE (NPI 1437149994) is a healthcare organization registered as an ambulance in Old Lyme, Connecticut and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Mary T Gentile, Authorized Agent, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Old Lyme South End Volunteer Ambulance 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 07D2134152
Old Lyme South End Volunteer Ambulance Association · Old Lyme, CTAreas 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.
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 Old Lyme South End Volunteer Ambulance's NPI number?
The NPI number for Old Lyme South End Volunteer Ambulance is 1437149994. It was assigned to this organization in the NPPES registry on October 26, 2005.
Where is Old Lyme South End Volunteer Ambulance located?
Old Lyme South End Volunteer Ambulance is located at 22 Cross Ln, Old Lyme, CT 06371. The listed phone number is (860) 434-0089.
What is Old Lyme South End Volunteer Ambulance's specialty?
The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.
Is Old Lyme South End Volunteer Ambulance enrolled in Medicare?
Yes. Old Lyme South End Volunteer Ambulance is registered in the Medicare PECOS enrollment system.
When is Old Lyme South End Volunteer Ambulance'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 Old Lyme South End Volunteer Ambulance hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 07D2134152) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Old Lyme South End Volunteer Ambulance accept?
Health plans from Anthem Blue Cross and Blue Shield list Old Lyme South End Volunteer Ambulance 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 Old Lyme South End Volunteer Ambulance was last updated on March 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.
# Old Lyme South End Volunteer Ambulance · NPI 1437149994
Ambulance organization in Old Lyme, Connecticut. Organization record, active in the CMS NPPES registry since October 26, 2005.
## Identity
- **NPI:** 1437149994 (Entity type: Organization)
- **Enumerated:** October 26, 2005
- **Primary specialty:** Ambulance · taxonomy 341600000X
- **Organization subpart:** No
- **Authorized official:** Mary Gentile, AUTHORIZED AGENT
## Practice location
- **Address:** 22 CROSS LN, Old Lyme, CT 06371-2115
- **Phone:** (860) 434-0089 · **Fax:** (860) 434-8052
## 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:** March 13, 2008
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1437149994) · Data from the CMS NPPES public registry.