Willington Fire Dept #1 in W Suffield - Land Transport
Willington Fire Dept #1 - NPI 1063400414
Willington Fire Dept #1 is a Land Transport in W Suffield, Connecticut. Willington Fire Dept #1 practices all healthcare services and medical treatments related to Land Transport. The NPI Number for Willington Fire Dept #1 is 1063400414. The last update date is 2013-08-22.
Willington Fire Dept #1's current location address is Po Box 204, W Suffield, Connecticut. You can contact this provider via phone number 8606683885 and fax number 8606683885. The mailing address for Willington Fire Dept #1 is Po Box 204, W Suffield, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willington Fire Dept #1 |
|---|---|
| Address | Po Box 204, W Suffield, Connecticut |
| Phone Number | 8606683885 |
| Fax Number | 8606683885 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AMBULANCE |
|---|---|
| Authorized Official Name | Gantick Ronald |
| Telephone Number | 8604290288 |
NPI Number Detail
| NPI Number | 1063400414 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2013-08-22 |
Provider Mailing Address Detail
| Address | Po Box 204 |
|---|---|
| City | W Suffield |
| State | Connecticut (CT) |
| Post Code | 6093 |
| Phone Number | 8606683885 |
| Fax Number | 8606683885 |
Provider's Primary Taxonomy Detail
| Speciality | Land Transport |
|---|---|
| Taxonomy | 3416L0300X |
| Licence No | C160B1 |
|
Definition: Provides emergency patient transportation by ground using specialized vehicles equipped with medical equipment and staffed by medical personnel. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 590009415 | RAILROAD MEDICARE | ||
| 710C160B1CT01 | CT | ANTHEM BLUE CROSS BLUE SH | |
| 4119857 | CT | -- | |
| 5300009415 | RAILROAD MEDICARE | ||
| 756028 | CONNECTICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Willington Fire Dept #1 by the Centers for Medicare & Medicaid Services?
The Willington Fire Dept #1 has been assigned the NPI (National Provider Identifier) 1063400414. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Willington Fire Dept #1 is located?
The Willington Fire Dept #1 is situated at the following address: Po Box 204, W Suffield, CT, 6093.
What is the Willington Fire Dept #1's specialty and taxonomy code?
The Willington Fire Dept #1's specialty is Land Transport, and the corresponding taxonomy code is 3416L0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063400414 to Willington Fire Dept #1?
The Centers for Medicare & Medicaid Services assigned the 1063400414 to Willington Fire Dept #1 on 2005-10-10.
As of what date was the information pertaining to Willington Fire Dept #1, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Willington Fire Dept #1, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-22.