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GARDNER LAKE VOLUNTEER FIRE COMPANY NPI 1164410601


NPI Information

NPI: 1164410601
Provider Name: GARDNER LAKE VOLUNTEER FIRE COMPANY
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
429 OLD COLCHESTER RD
SALEM, CT
ZIP 06420
Phone: (860) 859-1743
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GARDNER LAKE VOLUNTEER FIRE COMPANY is an ambulance in Salem, 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). GARDNER LAKE VOLUNTEER FIRE COMPANY NPI is 1164410601. The provider is registered as an organization entity type.

The provider's business location address is:

429 OLD COLCHESTER RD
SALEM, CT
ZIP 06420-748
Phone: (860) 859-1743
Fax: (860) 892-5392

The provider's authorized official is Mary Gentile .
The authorized official title is Authorized Agent and has the following contact phone number (800) 452-8191.

The enumeration date for this NPI number is 10/10/2005 and was last updated on 9/23/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1341600000XAmbulanceC121B1CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1590000232MEDICARE PINCONNECTICUT
2P00606334OTHERCONNECTICUTRAILROAD
3004211158MEDICAIDCONNECTICUT

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.