Montville Fire Company 1 Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MONTVILLE FIRE COMPANY 1 INC

Practice address

77 Route 163
Uncasville, CT 06382-2117

Phone

(860) 848-8070

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

Ron Turner

Title

Assistance Chief

Phone

(860) 848-8070

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1184619843",
    "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": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 ROUTE 163",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063822117",
            "telephone_number": "860-848-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTVILLE FIRE COMPANY 1 INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ASSISTANCE CHIEF",
        "authorized_official_telephone_number": "860-848-8070"
    },
    "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": "590008820",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CT3753",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004134665",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C086B2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy McKenna, PHARMD
• Bethany Luciani Miller, PA-C
• MLM Chiropractic LLC
• Mohegan Tribe of Indians of Connecticut
• Mohegan Tribe of Indians of CT
• Carolyn Moody
• Paqui D Motyl, MD
• Murphy Chiropractic LLC
• Michael Lee Murphy, D.C.
• Natchaug Hospital

• Land Ambulance in Uncasville, CT
• Providers in Uncasville, 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 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.