# TOWN OF WINDHAM

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WILLIMANTIC FIRE DEPARTMENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255338091
- **Authorized official:** ROBERT BUDEN (COMPTROLLER)
- **Authorized official phone:** (860) 465-3060

## Contact information

- **Practice address:** 13 BANK ST, WILLIMANTIC, CT 06226-2441
- **Practice address phone:** (860) 465-3060
- **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 | — | CT | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 03/07/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004010583 | PREFFERED ONE | — |
| 05 | — | 004010583 | — | CT |
| 01 | — | 00401058300 | BLUE CARE FAMILY PLAN | CT |
| 01 | — | 710L163A2CT01 | BLUE CROSS | CT |