NPIMap

Organization Active NPI

The Coventry Volunteer Fire Association Incorporated

  • Ambulance
  • Coventry, CT
National Provider Identifier
1851389258
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
C032B1 Issued in CT
Legal business name
THE COVENTRY VOLUNTEER FIRE ASSOCIATION INCORPORATED
Practice address
1755 Main St
Coventry, CT 06238-3618
Phone
(860) 742-3510
Fax
(860) 742-3137
NPI assigned
Oct 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Ms. Mary Gentile
Title
Authorized Agent
Phone
(800) 452-8191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X C032B1 CT Primary

Addresses

Primary practice location

1755 Main St
Coventry, CT 06238-3618

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
004161692MedicaidCT
590010006OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

1265 Main St
Coventry, CT 06238
Phone (860) 742-9954

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": "1364169600000",
    "number": "1851389258",
    "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": "1755 MAIN ST",
            "city": "COVENTRY",
            "state": "CT",
            "postal_code": "062383618",
            "telephone_number": "860-742-3510",
            "fax_number": "860-742-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE COVENTRY VOLUNTEER FIRE ASSOCIATION INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CT",
            "license": "C032B1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004161692",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590010006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.