Organization Active NPI

The Bethany Volunteer Firemens Association Incorporated

  • Ambulance
  • Bethany, CT
National Provider Identifier
1679561120
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C008B1 Issued in CT
Legal business name
THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED
Practice address
765 Amity Rd
Bethany, CT 06524-3028
Phone
(203) 393-2799
Fax
(203) 234-0776
NPI assigned
Oct 10, 2005
Last updated
Nov 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Authorized official

Name
Steven Kirschbaum
Title
Director
Phone
(203) 747-4317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C008B1 CT Primary

Addresses

Primary practice location

765 Amity Rd
Bethany, CT 06524-3028

Mailing address

765 Amity Rd
Bethany, CT 06524-3028
Phone (203) 393-2799

Other identifiers 2

IdentifierTypeStateIssuer
590012110OtherRAILROAD MEDICARE
4225761MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120119000752 CT Part B Supplier - Ambulance Service Supplier 6002083847 Practice locations: Bethany, CT

National Provider Directory

National Provider Directory

Locations

460 Amity Rd
Bethany, CT 06524
Phone (203) 393-2799

765 Amity Rd
Bethany, CT 06524
Phone (203) 343-2799

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1679561120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243028",
            "telephone_number": "203-393-2799",
            "fax_number": "203-234-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 AMITY RD",
            "city": "BETHANY",
            "state": "CT",
            "postal_code": "065243028",
            "telephone_number": "203-393-2799",
            "fax_number": "203-234-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "KIRSCHBAUM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-747-4317"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C008B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590012110",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4225761",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.