Bozrah Volunteer Fire Company Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

C013B1 Issued in CT

Legal business name

BOZRAH VOLUNTEER FIRE COMPANY INC

Practice address

239 Fitchville Rd
Bozrah, CT 06334-1111

Phone

(860) 887-9474

NPI assigned

Sep 20, 2006

Last updated

Mar 18, 2013By 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

Fred Potter

Title

President

Phone

(860) 887-9474

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1265539431",
    "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": "239 FITCHVILLE RD",
            "city": "BOZRAH",
            "state": "CT",
            "postal_code": "063341111",
            "telephone_number": "860-887-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOZRAH VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-887-9474"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C013B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "ZA1808",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004133287",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "710C013B1CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Antonino, APRN
• Alane M Apicelli, RDN, CDN
• Romina Badal, DMD
• Elaine Bentley Baughn, LMFT
• Heather Jo Bonitz-Moore, ATR-BC, LPC, IMH-E
• Alexandra V Brennan, DMD
• Hannah Carey
• CH Specialty Services CT PLLC
• Children's Dental Associates of NLC, PC
• Comfort Care Medical Equipment, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.