# TOWN OF LEDYARD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LEDYARD VOL. EMERGENCY SQUAD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245225887
- **Authorized official:** KATHY IVEY (DIRECTOR)
- **Authorized official phone:** (860) 464-8222

## Contact information

- **Practice address:** 741 R COL LEDYARD HIGHWAY, LEDYARD, CT 06339
- **Practice address phone:** (860) 464-8222
- **Mailing address:** 269 MAIN ST, CROMWELL, CT 06416-2302
- **Mailing address phone:** (860) 638-1800
- **Mailing address fax:** (860) 638-1802

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 01/20/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004161444 | — | CT |
| 01 | — | 590010517 | RAILROAD MEDICARE | — |
| 01 | — | 710C072B1CT01 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | CT6659 | HEALTHNET | — |