Organization Active NPI

The Chesterfield Fire Company Incorporated

  • Land Ambulance
  • Oakdale, CT
National Provider Identifier
1205836129
Registry record updated Jun 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
THE CHESTERFIELD FIRE COMPANY INCORPORATED
Practice address
1606 Route 85
Oakdale, CT 06370-1715
Phone
(860) 443-0015
Fax
(860) 443-3481
NPI assigned
Jul 22, 2005
Last updated
Jun 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2010

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

Authorized official

Name
Steve Stewart
Title
Chief
Phone
(860) 443-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1606 Route 85
Oakdale, CT 06370-1715

Mailing address

269 Main St
Cromwell, CT 06416-2302
Phone (800) 437-8347

Other identifiers 4

IdentifierTypeStateIssuer
004173465MedicaidCT
710C086C2CT01OtherCTBLUE CROSS/BLUE SHIELD
00417346500OtherBLUE CARE FAMILY PLAN
CU2680OtherHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100113000691 CT Part B Supplier - Ambulance Service Supplier 6103967005 Practice locations: Oakdale, CT

National Provider Directory

National Provider Directory

Locations

1606 Route 85
Oakdale, CT 06370
Phone (860) 443-0015

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276128000000",
    "number": "1205836129",
    "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": "860-638-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 ROUTE 85",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701715",
            "telephone_number": "860-443-0015",
            "fax_number": "860-443-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHESTERFIELD FIRE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2010-06-10",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "860-443-0015"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004173465",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C086C2CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE FAMILY PLAN",
            "identifier": "00417346500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CU2680",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.