# TOWN OF MANCHESTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manchester Fire Rescue and EMS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720119894
- **Authorized official:** MR. SCOTT SHANLEY (GENERAL MANAGER)
- **Authorized official phone:** (860) 647-3124

## Contact information

- **Practice address:** 75 CENTER ST, MANCHESTER, CT 06040-5002
- **Practice address phone:** (860) 647-3266
- **Practice address fax:** (860) 647-3268
- **Mailing address:** 41 CENTER ST, MANCHESTER, CT 06040-5090
- **Mailing address phone:** (860) 647-3124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | C077P2 | CT | — |
| 3416L0300X | Land Ambulance | C077P2 | CT | Yes |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 07/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 008001469 | — | CT |
| 01 | — | 710C077A5CT01 | ANTHEM BLUE CROSS BLUE SHIELD | — |