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Organization
THE COMMUNITY FIRE COMPANY OF NORTH GROSVENORDALE CT INC.
Active
Organization
THE COMMUNITY FIRE COMPANY OF NORTH GROSVENORDALE CT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL SENEY (PRESIDENT)
(860) 923-9444
Entity
Organization
Contact information
Practice address
862 RIVERSIDE DR, NORTH GROSVENORDALE, CT 06255-1729
(860) 923-9444
(860) 923-9720
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
—
004173895
—
CT
01
—
710C141A2CT01
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/22/2005
Last updated
05/29/2019
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