# CANTERBURY VOLUNTEER FIRE COMPANY INC

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

## Provider details

- **NPI number:** 1588664403
- **Authorized official:** MR. RAYMOND M MCGILLIVRAY (CHIEF)
- **Authorized official phone:** (860) 546-9807

## Contact information

- **Practice address:** 155 WESTMINSTER RD, CANTERBURY, CT 06331-1432
- **Practice address phone:** (860) 546-9807
- **Practice address fax:** (860) 303-2275
- **Mailing address:** PO BOX 293, CANTERBURY, CT 06331-0293
- **Mailing address phone:** (860) 546-9807

## Taxonomy

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

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 05/10/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 004237170 | COMMUNITY HEALTH | CT |
| 05 | — | 004237170 | — | CT |
| 01 | — | 590015567 | RAILROAD MEDICARE | — |
| 01 | — | 710C022A2CT01 | BLUE CROSS/BLUE SHIELD | CT |