Chester Hose Company Incorporated

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C026B2 Issued in CT

Legal business name

CHESTER HOSE COMPANY INCORPORATED

Practice address

6 High St
Chester, CT 06412-1117

Phone

(860) 526-0019

Fax

(860) 526-6450

NPI assigned

Oct 11, 2005

Last updated

Sep 24, 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

Sandra Castievetro

Title

Billing Agent

Phone

(860) 663-3634

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1379980800000",
    "number": "1487642849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 ROUTE 80",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191400",
            "telephone_number": "860-663-3634",
            "fax_number": "860-663-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HIGH ST",
            "city": "CHESTER",
            "state": "CT",
            "postal_code": "064121117",
            "telephone_number": "860-526-0019",
            "fax_number": "860-526-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER HOSE COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "CASTIEVETRO",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "860-663-3634"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C026B2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004216546",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174598",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Madeline Bird, MD
• Donald Francis Bouchard
• Jessica Dominique Bruce, DMD
• Ann Marie Burton, COTA/L
• Chester Board of Education
• Chesterfields LTD.
• Eryka Clayton, CNS, MS
• Rosemarie G Cole, APRN
• Deborah Dembo Aprn, LLC
• Rebecca Lynn Degnan, LPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.