Andover Volunteer Fire Department, Inc.
Organization Active NPI Land Ambulance · Andover, CT
NPI 1457351306 · NPPES record last updated Jan 9, 2023
Key facts
- NPI
- 1457351306
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ANDOVER VOLUNTEER FIRE DEPARTMENT, INC.
- Practice address
- 11 School Rd
Andover, CT 06232-1526 - Phone
- (860) 742-7477
- NPI assigned
- Jul 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Melinda Hegener
- Title
- Deputy Chief
- Phone
- (860) 742-7477
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091203000674 | CT | Part B Supplier - Ambulance Service Supplier | 2567501513 | Practice locations: Andover, CT |
National Provider Directory
Locations
11 School Rd
Andover, CT 06232
Phone (860) 742-7477
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
11 School Rd
Andover, CT 06232-1526
Mailing address
11 School Rd
Andover, CT 06232-1556
Phone (860) 742-7477
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004235835 | Other | COMMUNITY HEALTH | |
| 710C001B1CT01 | Other | BLUE CROSS/BLUE SHIELD | |
| 004235835 | Other | PREFERRED ONE | |
| 004235835 | Medicaid | CT |
Other providers in Andover, CT
- Andover Board of Education
- Avalon Counseling & Wellness Center LLC
- Henri Paul Carbonneau Jr.
- Carrina Trantalis, LPC LLC
- Diana Evans Dash
- Robin Degemmis
All providers in Andover, CT · Land Ambulance in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.