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Organization
POQUETANUCK VOLUNTEER FIRE DEPARTMENT INC
Active
Organization
POQUETANUCK VOLUNTEER FIRE DEPARTMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HOLLAND (CHIEF)
(860) 887-5151
Entity
Organization
Contact information
Practice address
87 ROUTE 2A, PRESTON, CT 06365-8538
(860) 887-5151
(860) 823-1929
Mailing address
269 MAIN ST, CROMWELL, CT 06416-2302
(860) 638-1800
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004207793
—
CT
01
—
710C114B2CT01
BLUE CROSS/BLUE SHIELD
CT
01
—
CV1962
HEALTHNET
—
Enumeration date
02/09/2006
Last updated
09/21/2010
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