TOWN OF MANCHESTER NPI 1720119894

NPI Information

NPI: 1720119894
Provider Name: TOWN OF MANCHESTER

Doing Business As: MANCHESTER FIRE RESCUE AND EMS

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
75 CENTER ST
MANCHESTER, CT
ZIP 06040
Phone: (860) 647-3266
Get Directions

TOWN OF MANCHESTER is a land transport ambulance in Manchester, CT. TOWN OF MANCHESTER NPI is 1720119894. The provider is registered as an organization entity type.
The provider Is Doing Business As Manchester Fire Rescue And Ems.

The provider's business location address is:

75 CENTER ST
MANCHESTER, CT
ZIP 06040-002
Phone: (860) 647-3266
Fax: (860) 647-3268

The provider's authorized official is Scott Shanley .
The authorized official title is General Manager and has the following contact phone number (860) 647-3124.

The CLIA number assigned to this NPI record is 07D2113197 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 7/2/2012.

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	341600000X	Ambulance		C077P2	CONNECTICUT	No
2	3416L0300X	Ambulance	Land Transport	C077P2	CONNECTICUT	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	710C077A5CT01	OTHER		ANTHEM BLUE CROSS BLUE SHIELD
2	008001469	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: 4/28/2024

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