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Organization
ANDOVER VOLUNTEER FIRE DEPARTMENT, INC.
Active
Organization
ANDOVER VOLUNTEER FIRE DEPARTMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA HEGENER (DEPUTY CHIEF)
(860) 742-7477
Entity
Organization
Contact information
Practice address
11 SCHOOL RD, ANDOVER, CT 06232-1526
(860) 742-7477
Mailing address
11 SCHOOL RD, ANDOVER, CT 06232-1556
(860) 742-7477
(860) 742-4047
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004235835
PREFERRED ONE
—
05
—
004235835
—
CT
01
—
710C001B1CT01
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/21/2005
Last updated
01/09/2023
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