NPIMap

Organization Active NPI

Pomfret Fire District

  • Ambulance
  • Pomfret, CT
National Provider Identifier
1467442913
Registry record updated Jan 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C112B1 Issued in CT
Legal business name
POMFRET FIRE DISTRICT
Practice address
67 Hampton Rd
Pomfret, CT 06258-0306
Phone
(860) 974-1508
Fax
(860) 974-3639
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2012

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

Authorized official

Name
Ms. Mary T Gentile
Title
Authorized Agent
Phone
(860) 257-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C112B1 CT Primary

Addresses

Primary practice location

67 Hampton Rd
Pomfret, CT 06258-0306

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201

Other identifiers 2

IdentifierTypeStateIssuer
P00986248OtherCTRAILROAD MEDICARE
004250081MedicaidCT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325808000000",
    "number": "1467442913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-9201",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 HAMPTON RD",
            "city": "POMFRET",
            "state": "CT",
            "postal_code": "062580306",
            "telephone_number": "860-974-1508",
            "fax_number": "860-974-3639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POMFRET FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-01-06",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "860-257-9201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C112B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00986248",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004250081",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomfret, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.