NPIMap

Organization Active NPI

Clinton Volunteer Fire Dept

  • Land Ambulance
  • Clinton, CT
National Provider Identifier
1730177171
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
C027B1 Issued in CT
Legal business name
CLINTON VOLUNTEER FIRE DEPT
Practice address
35 E Main St
Clinton, CT 06413-2049
Phone
(860) 669-8131
Fax
(860) 664-7650
NPI assigned
Oct 10, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Heather M Lizotte
Title
Authorized Agent
Phone
(800) 452-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X C027B1 CT Primary

Addresses

Primary practice location

35 E Main St
Clinton, CT 06413-2049

Mailing address

PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191

Other identifiers 1

IdentifierTypeStateIssuer
P00121278OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory
Tax ID family
Clinton Volunteer Fire Department Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1598054400000",
    "number": "1730177171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 E MAIN ST",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132049",
            "telephone_number": "860-669-8131",
            "fax_number": "860-664-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTON VOLUNTEER FIRE DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "CT",
            "license": "C027B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00121278",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.