Town of Preston

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF PRESTON

Practice address

87 Route 2a
Preston, CT 06365-8538

Phone

(860) 887-5151

NPI assigned

Oct 2, 2023

Organization subpart

No

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

Authorized official

Name

Keith Wucik

Title

Fire Chief

Phone

(860) 887-5151

Specialties & licenses 2

Addresses

Other names 1

• Town of Preston Fire Department Other name

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": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1710767413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ROUTE 2A",
            "city": "PRESTON",
            "state": "CT",
            "postal_code": "063658538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ROUTE 2A",
            "city": "PRESTON",
            "state": "CT",
            "postal_code": "063658538",
            "telephone_number": "860-887-5151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF PRESTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "WUCIK",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "860-887-5151"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town of Preston Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Poquetanuck Volunteer Fire Department Inc
• Susan L Porter, RN
• Preston Public Schools
• Tracy L Rosiene, LMT
• Summit Counseling LLC
• Carolyn Ann Trasko, MSW, LCSW
• Melinda Mary Tyler, MA, MFT

• Land Ambulance in Preston, CT
• Providers in Preston, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.