Organization
SUFFIELD VOLUNTEER AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR GROUX (AMBULANCE CHIEF)
(860) 668-3881
Entity
Organization
Contact information
Practice address
205 BRIDGE ST, SUFFIELD, CT 06078-2105
(860) 668-3881
Mailing address
PO BOX 62, W SUFFIELD, CT 06093-0062
(860) 668-3885
(860) 668-3885
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C139I1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004107787
—
CT
01
—
00410778700
ANTHEM BLUE CARE FAMILY
—
05
—
1011440
—
VT
01
—
104428200
DEPT OF LABOR
—
01
—
1720309
MASS HEALTH
—
01
—
590006385
RAILROAD MEDICARE
—
01
—
710C139I1CT01
ANTHEM BCBS
CT
01
—
947163
CONNECTICARE
—
Enumeration date
08/16/2005
Last updated
03/26/2013
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