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Organization
AMERICAN LEGION COMMUNITY AMBULANCE INC
Active
Organization
AMERICAN LEGION COMMUNITY AMBULANCE INC
Active
Other names
GRISWOLD AMERICAN LEGION AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
BILL CZMYR (PRESIDENT)
(860) 376-3080
Entity
Organization
Contact information
Practice address
20 SOULE ST, JEWETT CITY, CT 06351-2217
(860) 376-3080
(860) 376-7703
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
—
004110144
—
CT
01
—
590008427
RAILROAD MEDICARE
—
01
—
710C058B1CT01
BLUE CROSS/BLUE SHIELD
—
01
—
Z09748
HEALTHNET
—
Enumeration date
07/22/2005
Last updated
09/22/2010
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