ANDOVER VOLUNTEER FIRE DEPARTMENT INC. NPI 1457351306

NPI Information

NPI: 1457351306
Provider Name: ANDOVER VOLUNTEER FIRE DEPARTMENT, INC.
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 07D2114706

Address:
11 SCHOOL RD
ANDOVER, CT
ZIP 06232
Phone: (860) 742-7477
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ANDOVER VOLUNTEER FIRE DEPARTMENT, INC. is a land transport ambulance in Andover, CT. ANDOVER VOLUNTEER FIRE DEPARTMENT, INC. NPI is 1457351306. The provider is registered as an organization entity type.

The provider's business location address is:

11 SCHOOL RD
ANDOVER, CT
ZIP 06232-526
Phone: (860) 742-7477

The provider's authorized official is Melinda Hegener .
The authorized official title is Deputy Chief and has the following contact phone number (860) 742-7477.

The CLIA number assigned to this NPI record is 07D2114706 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2005 and was last updated on 1/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004235835	OTHER		COMMUNITY HEALTH
2	710C001B1CT01	OTHER		BLUE CROSS/BLUE SHIELD
3	004235835	OTHER		PREFERRED ONE
4	004235835	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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