# BETHLEHEM AMBULANCE ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932105293
- **Authorized official:** SUSAN MARCH (TREASURER)
- **Authorized official phone:** (203) 266-7890

## Contact information

- **Practice address:** MAIN ST SOUTH, BETHLEHEM, CT 06751
- **Practice address phone:** (203) 266-6666
- **Practice address fax:** (203) 266-6666
- **Mailing address:** PO BOX 401, 83 MAIN STREET SOUTH, BETHLEHEM, CT 06751-0401
- **Mailing address phone:** (203) 266-6666
- **Mailing address fax:** (203) 266-5535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | CT123 | CT | Yes |

## Other

- **Enumeration date:** 06/22/2005
- **Last updated:** 02/21/2012

## 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 | — |