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Old Lyme South End Volunteer Ambulance

NPI 1437149994ActiveOrganization· Ambulance· Old Lyme, CT

Ambulance in Old Lyme, Connecticut, registered in NPPES in October 2005. The authorized official on file is Mary T. Gentile, Authorized Agent. Medicare paid $72,052 for services to 112 patients in 2024.

Overview

NPI1437149994
StatusActive
Entity typeOrganization
NPI issuedOct 26, 2005
Last updated in NPPESMar 13, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Ambulance Primary341600000XC105B1CT

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 patients112
Services billed2,004 across 4 procedure codes
Paid by Medicare$72,052

Medicare sources and data years