# TOWN OF SCOTLAND

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

## Provider details

- **NPI number:** 1346213279
- **Authorized official:** DANIEL SYME (CHIEF)
- **Authorized official phone:** (860) 450-1525

## Contact information

- **Practice address:** ROUTE 14, SCOTLAND, CT 06264
- **Practice address phone:** (860) 450-1525
- **Mailing address:** PO BOX 503, EAST BERLIN, CT 06023-0503
- **Mailing address phone:** (860) 828-2002
- **Mailing address fax:** (860) 828-2005

## Taxonomy

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

## Other

- **Enumeration date:** 02/10/2006
- **Last updated:** 06/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004242088 | — | CT |
| 01 | — | 710C123A2CT01 | BLUE CROSS/BLUE SHIELD | CT |
| 01 | — | CV2066 | HEALTHNET | — |
