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Organization
BETHLEHEM AMBULANCE ASSOCIATION INC
Active
Organization
BETHLEHEM AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARCH (TREASURER)
(203) 266-7890
Entity
Organization
Contact information
Practice address
MAIN ST SOUTH, BETHLEHEM, CT 06751
(203) 266-6666
(203) 266-6666
Mailing address
PO BOX 401, 83 MAIN STREET SOUTH, BETHLEHEM, CT 06751-0401
(203) 266-6666
(203) 266-5535
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
CT123
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004224292
—
CT
01
—
00422429200
BLUE CARE FAMILY PLAN
—
01
—
709773
CONNECTICARE
—
01
—
710C010AZCT01
BCBS
—
01
—
CU7382
PHS
—
Enumeration date
06/22/2005
Last updated
02/21/2012
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