# TOWN OF WESTPORT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Town of Westport EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396718581
- **Authorized official:** MARC HARTOG (BILLING COORDINATOR)
- **Authorized official phone:** (203) 341-6056

## Contact information

- **Practice address:** 50 JESUP RD, WESTPORT, CT 06880-4309
- **Practice address phone:** (203) 341-6056
- **Practice address fax:** (203) 454-6157
- **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:** 02/09/2006
- **Last updated:** 09/22/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004091906 | — | CT |
| 01 | — | 710C158A2CT01 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | CV0851 | HEALTHNET | — |