Organization Active NPI

Cromwell Fire District

  • Land Ambulance
  • Cromwell, CT
National Provider Identifier
1477553295
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CROMWELL FIRE DISTRICT
Practice address
1 West St
Cromwell, CT 06416-2123
Phone
(860) 635-6155
NPI assigned
Jul 22, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Jason Brade
Title
Fire Chief
Phone
(860) 635-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1 West St
Cromwell, CT 06416-2123

Mailing address

PO Box 165
Branford, CT 06405-0165
Phone (860) 663-3634

Other identifiers 6

IdentifierTypeStateIssuer
004219326OtherCOMMUNITY HEALTH
004219326MedicaidCT
Z11906OtherHEALTHNET
710C033A2CT01OtherBLUE CROSS/BLUE SHIELD
91001380000OtherAMERICHOICE
590011503OtherRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090127000399 CT Part B Supplier - Ambulance Service Supplier 8921162553 Practice locations: Cromwell, CT

National Provider Directory

National Provider Directory

Locations

1 West St
Fl 2
Cromwell, CT 06416

1 West St
Cromwell, CT 06416
Phone (860) 635-4420

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": "1781568000000",
    "number": "1477553295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064050165",
            "telephone_number": "860-663-3634",
            "fax_number": "860-452-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162123",
            "telephone_number": "860-635-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROMWELL FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "BRADE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "860-635-6155"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH",
            "identifier": "004219326",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004219326",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "Z11906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C033A2CT01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "91001380000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011503",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cromwell, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.