TOWN OF STRATFORD CONNECTICUT NPI 1508854928

NPI Information

TOWN OF STRATFORD, CONNECTICUT is a land transport ambulance in Stratford, CT. TOWN OF STRATFORD, CONNECTICUT NPI is 1508854928. The provider is registered as an organization entity type.
The provider Is Doing Business As Stratford Emergency Medical Service.

The provider's business location address is:

2712 MAIN ST
STRATFORD, CT
ZIP 06615-816
Phone: (203) 385-4060
Fax: (203) 385-4156

The provider's authorized official is Jay Wahlberg .
The authorized official title is Finance Director and has the following contact phone number (203) 385-4040.

The CLIA number assigned to this NPI record is 07D2113374 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 8/9/2018.

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:

Other Identifiers

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

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