Poquetanuck Volunteer Fire Department Inc
Organization Active NPI Land Ambulance · Preston, CT
NPI 1699748871 · NPPES record last updated Sep 21, 2010
Key facts
- NPI
- 1699748871
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- POQUETANUCK VOLUNTEER FIRE DEPARTMENT INC
- Practice address
- 87 Route 2a
Preston, CT 06365-8538 - Phone
- (860) 887-5151
- Fax
- (860) 823-1929
- NPI assigned
- Feb 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Russell Holland
- Title
- Chief
- Phone
- (860) 887-5151
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
87 Route 2a
Preston, CT 06365-8538
Mailing address
269 Main St
Cromwell, CT 06416-2302
Phone (860) 638-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 710C114B2CT01 | Other | CT | BLUE CROSS/BLUE SHIELD |
| CV1962 | Other | HEALTHNET | |
| 004207793 | Medicaid | CT |
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All providers in Preston, 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 Sep 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.