# EAST LYME AMBULANCE FUND INC

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851391601
- **Authorized official:** DAVID BAER (PRESIDENT)
- **Authorized official phone:** (860) 367-5048

## Contact information

- **Practice address:** 8 GRAND ST, NIANTIC, CT 06357-3204
- **Practice address phone:** (860) 739-3449
- **Practice address fax:** (860) 739-5268
- **Mailing address:** 269 MAIN ST, CROMWELL, CT 06416-2302
- **Mailing address phone:** (860) 638-1800
- **Mailing address fax:** (860) 638-1802

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 08/26/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004195807 | — | CT |
| 01 | — | 710C045A2CT01 | BLUE CROSS/BLUE SHIELD | — |
| 01 | — | CU8738 | HEALTHNET | — |