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WILLINGTON FIRE DEPT #1 NPI 1063400414


NPI Information

NPI: 1063400414
Provider Name: WILLINGTON FIRE DEPT #1

Other Name: WILLINGTON FIRE DEPT #1

Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
426 RIVER RD
WILLINGTON, CT
ZIP 06279
Phone: (860) 429-0288
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WILLINGTON FIRE DEPT #1 is an ambulance in Willington, CT. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). WILLINGTON FIRE DEPT #1 NPI is 1063400414. The provider is registered as an organization entity type.
The provider Other Name Is Willington Fire Dept #1.

The provider's business location address is:

426 RIVER RD
WILLINGTON, CT
ZIP 06279-310
Phone: (860) 429-0288
Fax: (860) 487-4545

The provider's authorized official is Ronald Gantick .
The authorized official title is Ambulance Chief and has the following contact phone number (860) 429-0288.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 8/22/2013.


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
13416L0300XAmbulanceLand TransportC160B1CONNECTICUTNo
2341600000XAmbulanceC160B1CONNECTICUTYes

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
1004119857MEDICAIDCONNECTICUT
2710C160B1CT01OTHERCONNECTICUTANTHEM BLUE CROSS BLUE SH
35300009415OTHERRAILROAD MEDICARE
4756028OTHERCONNECTICARE
5590000120MEDICARE ID-TYPE UNSPECIFIED
6590009415OTHERRAILROAD MEDICARE

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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