# EAST WINDSOR AMBULANCE ASSOC

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

## Provider details

- **NPI number:** 1114919305
- **Authorized official:** MR. THOMAS J CLYNCH III (AMBULANCE CHIEF)
- **Authorized official phone:** (860) 654-0515

## Contact information

- **Practice address:** 25 SCHOOL ST, EAST WINDSOR, CT 06088-9511
- **Practice address phone:** (860) 654-0515
- **Practice address fax:** (860) 623-5289
- **Mailing address:** PO BOX 188, EAST WINDSOR, CT 06088-0188
- **Mailing address phone:** (860) 654-0515
- **Mailing address fax:** (860) 623-5289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | CT | — |
| 3416L0300X | Land Ambulance | C047P1 | CT | Yes |

## Other

- **Enumeration date:** 08/16/2005
- **Last updated:** 03/15/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004138055 | — | CT |
| 01 | — | 104834400 | DEPT OF LABOR | — |
| 01 | — | 590009265 | RAILROAD MEDICARE | — |
| 01 | — | 777989 | CONNECTICARE | — |