# MIDDLEBURY VOLUNTEER FIRE DEPARTMENT INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114912862
- **Authorized official:** PAUL PERROTTI (CHIEF)
- **Authorized official phone:** (203) 577-4036

## Contact information

- **Practice address:** 65 TUCKER HILL RD, MIDDLEBURY, CT 06762-2512
- **Practice address phone:** (203) 577-4036
- **Mailing address:** 269 MAIN ST, CROMWELL, CT 06416-2302
- **Mailing address phone:** (800) 437-8347
- **Mailing address fax:** (860) 638-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 09/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004164521 | — | CT |
| 01 | — | 590010128 | RAILROAD MEDICARE | — |
| 01 | — | 710C018B2CT01 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | CT8389 | HEALTHNET | — |