Beacon Hose Company 1

Primary specialty

AmbulanceTaxonomy code 341600000X

License

C006B1 Issued in CT

Legal business name

BEACON HOSE COMPANY 1

Practice address

35 N Main St
Beacon Falls, CT 06403-1169

Phone

(203) 729-1470

Fax

(203) 723-2209

NPI assigned

Jul 21, 2005

Last updated

Jul 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connor Banks

Title

Daytime Captain

Phone

(203) 729-1470

Specialties & licenses 1

Addresses

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": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1821098781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 N MAIN ST",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064031169",
            "telephone_number": "203-729-1470",
            "fax_number": "203-723-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 N MAIN ST",
            "city": "BEACON FALLS",
            "state": "CT",
            "postal_code": "064031169",
            "telephone_number": "203-729-1470",
            "fax_number": "203-723-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSE COMPANY 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2024-07-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "CONNOR",
        "authorized_official_title_or_position": "DAYTIME CAPTAIN",
        "authorized_official_telephone_number": "203-729-1470"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C006B1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beacon Falls Counseling LLC
• Beacon Falls Pharmacy, LLC
• Amanda Bolduc, LCSW
• Marion Bradley, RPH
• Cassandra Hope Cooper, DNP, FNP-BC
• Francis Julius Coppola III, MSW
• Bindu Dey, MD

• Ambulance in Beacon Falls, CT
• Providers in Beacon Falls, CT by specialty
• Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.