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Organization
MONTVILLE FIRE COMPANY 1 INC
Active
Organization
MONTVILLE FIRE COMPANY 1 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON TURNER (ASSISTANCE CHIEF)
(860) 848-8070
Entity
Organization
Contact information
Practice address
77 ROUTE 163, UNCASVILLE, CT 06382-2117
(860) 848-8070
Mailing address
269 MAIN ST, CROMWELL, CT 06416-2302
(860) 638-1800
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004134665
—
CT
01
—
590008820
RAILROAD MEDICARE
—
01
—
710C086B2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CT3753
HEALTHNET
—
Enumeration date
09/19/2005
Last updated
09/17/2010
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