Organization Active NPI

Oakdale Volunteer Fire Company Inc

  • Ambulance
  • Oakdale, CT
National Provider Identifier
1700876265
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C086B1 Issued in CT
Legal business name
OAKDALE VOLUNTEER FIRE COMPANY INC
Practice address
444 Chapel Hill Rd
Oakdale, CT 06370-1401
Phone
(860) 859-0502
Fax
(860) 859-2113
NPI assigned
Oct 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Authorized official

Name
Gary Murphy
Title
Chief
Phone
(860) 638-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C086B1 CT Primary

Addresses

Primary practice location

444 Chapel Hill Rd
Oakdale, CT 06370-1401

Mailing address

269 Main St
Cromwell, CT 06416-2302
Phone (860) 638-1800

Other identifiers 2

IdentifierTypeStateIssuer
590000117OtherCTRAILROAD MEDICARE
1700876265MedicaidCT

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090216000179 CT Part B Supplier - Ambulance Service Supplier 1254496862 Practice locations: Oakdale, CT

National Provider Directory

National Provider Directory

Locations

444 Chapel Hill Rd
Oakdale, CT 06370
Phone (860) 859-0502

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": "1285027200000",
    "number": "1700876265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 CHAPEL HILL RD",
            "city": "OAKDALE",
            "state": "CT",
            "postal_code": "063701401",
            "telephone_number": "860-859-0502",
            "fax_number": "860-859-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKDALE VOLUNTEER FIRE COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "860-638-1800"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C086B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000117",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700876265",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.