# TOWN OF STRATFORD, CONNECTICUT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stratford Emergency Medical Service
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508854928
- **Authorized official:** JAY WAHLBERG (FINANCE DIRECTOR)
- **Authorized official phone:** (203) 385-4040

## Contact information

- **Practice address:** 2712 MAIN ST, STRATFORD, CT 06615-5816
- **Practice address phone:** (203) 385-4060
- **Practice address fax:** (203) 385-4156
- **Mailing address:** PO BOX 417697, BOSTON, MA 02241-7697
- **Mailing address phone:** (203) 385-4060
- **Mailing address fax:** (203) 385-4156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | C138P1 | CT | — |
| 3416L0300X | Land Ambulance | C138P1 | CT | Yes |

## Other

- **Enumeration date:** 10/10/2005
- **Last updated:** 08/09/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004169480 | — | CT |
| 01 | — | P00078413 | RAILROAD MEDICARE | — |
