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Organization
EAST LYME AMBULANCE FUND INC
Active
Organization
EAST LYME AMBULANCE FUND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BAER (PRESIDENT)
(860) 367-5048
Entity
Organization
Contact information
Practice address
8 GRAND ST, NIANTIC, CT 06357-3204
(860) 739-3449
(860) 739-5268
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
—
004195807
—
CT
01
—
710C045A2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CU8738
HEALTHNET
—
Enumeration date
07/22/2005
Last updated
08/26/2025
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