Active NPI
Falls Village Volunteer Fire Department Inc
- Land Ambulance
- Cromwell, CT
National Provider Identifier
1881996064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- C021B1
- Legal business name
- FALLS VILLAGE VOLUNTEER FIRE DEPARTMENT INC
- Practice address
- 269 Main St
Cromwell, CT 06416-2302 - Phone
- (860) 638-1800
- Fax
- (860) 638-1802
- NPI assigned
- Nov 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kent C Allyn
- Title
- President
- Phone
- (860) 824-5298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | C021B1 | CT | Primary |
Addresses
Primary practice location
269 Main St
Cromwell, CT 06416-2302
Mailing address
PO Box 1
Falls Village, CT 06031-0001
Phone (860) 824-5298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110328000202 | CT | Part B Supplier - Ambulance Service Supplier | 3173706249 | Practice locations: Falls Village, CT |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290384000000",
"number": "1881996064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1",
"city": "FALLS VILLAGE",
"state": "CT",
"postal_code": "060310001",
"telephone_number": "860-824-5298",
"fax_number": "860-824-5346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FALLS VILLAGE VOLUNTEER FIRE DEPARTMENT INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-22",
"last_updated": "2010-11-22",
"status": "A",
"authorized_official_last_name": "ALLYN",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-824-5298"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "CT",
"license": "C021B1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.