# MIDDLESEX HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MIDDLESEX HOSPITAL AMBULANCE SERVICE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710370390
- **Authorized official:** MR. VINCENT G CAPECE JR. (CEO)
- **Authorized official phone:** (860) 358-6110

## Contact information

- **Practice address:** 28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
- **Practice address phone:** (860) 358-6394
- **Practice address fax:** (860) 358-6748
- **Mailing address:** 195 ROUTE 80, KILLINGWORTH, CT 06419-1400
- **Mailing address phone:** (860) 663-3634
- **Mailing address fax:** (860) 663-3795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | L083P1 | CT | Yes |

## Other

- **Enumeration date:** 03/06/2015
- **Last updated:** 03/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | L083P1 | LICENSE | CT |