# LIME ROCK PARK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lime Rock Park Ambulance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265933980
- **Authorized official:** MR. TOM BURKE (DIRECTOR OF EMERGENCY SERVICES)
- **Authorized official phone:** (860) 435-5000

## Contact information

- **Practice address:** 497 LIME ROCK RD, LAKEVILLE, CT 06039-2407
- **Practice address phone:** (860) 435-5000
- **Mailing address:** PO BOX 165, BRANFORD, CT 06405-0165
- **Mailing address phone:** (860) 663-3634
- **Mailing address fax:** (860) 452-4430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | C122B2 | CT | Yes |

## Other

- **Enumeration date:** 02/27/2018
- **Last updated:** 07/20/2026