Town of Colchester

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C028B1 Issued in CT

Legal business name

TOWN OF COLCHESTER

Doing business as

Colchester Fire Department

Practice address

52 Old Hartford Rd
Colchester, CT 06415-2736

Phone

(860) 537-2512

Fax

(860) 537-3332

NPI assigned

Oct 11, 2005

Last updated

Jul 22, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Walter Cox

Title

Chief of Service

Phone

(860) 537-2512

Specialties & licenses 2

Addresses

Other names 1

• Colchester Fire Department Doing business as

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": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1245228618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 TURCOTTE MEMORIAL DR",
            "city": "ROWLEY",
            "state": "MA",
            "postal_code": "019691706",
            "telephone_number": "800-488-4351",
            "fax_number": "978-356-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 OLD HARTFORD RD",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064152736",
            "telephone_number": "860-537-2512",
            "fax_number": "860-537-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF COLCHESTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "CHIEF OF SERVICE",
        "authorized_official_telephone_number": "860-537-2512"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C028B1",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colchester Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Colchester, CT
• Providers in Colchester, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.