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Gardner Lake Volunteer Fire Company

NPI 1164410601ActiveOrganization· Ambulance· Salem, CT

Ambulance in Salem, Connecticut, registered in NPPES in October 2005. The authorized official on file is Mary Gentile, Authorized Agent. Medicare paid $29,257 for services to 48 patients in 2024.

Overview

NPI1164410601
StatusActive
Entity typeOrganization
NPI issuedOct 10, 2005
Last updated in NPPESSep 23, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000XC121B1CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Ambulance Service Supplier (CT)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients48
Services billed790 across 3 procedure codes
Paid by Medicare$29,257

Medicare sources and data years