Middlebury Volunteer Fire Department Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MIDDLEBURY VOLUNTEER FIRE DEPARTMENT INC

Practice address

65 Tucker Hill Rd
Middlebury, CT 06762-2512

Phone

(203) 577-4036

NPI assigned

Sep 19, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Perrotti

Title

Chief

Phone

(203) 577-4036

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1114912862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "800-437-8347",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 TUCKER HILL RD",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067622512",
            "telephone_number": "203-577-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURY VOLUNTEER FIRE DEPARTMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "PERROTTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "203-577-4036"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010128",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C018B2CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CT8389",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004164521",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kilah Mendes, DPT
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• Middlebury Dental Group PLLC
• Middlebury Smiles PLLC
• Middlebury Surgical, LLC
• Magdy G Mikaiel, DDS
• W Kenneth Miner, PA
• Amanda Montoni
• David Morin, LMFT
• York P Moy, M.D.

• Land Ambulance in Middlebury, CT
• Providers in Middlebury, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.