Organization
ROCKY HILL VOLUNTEER AMBULANCE ASSOC. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
3050 MAIN ST, ROCKY HILL, CT 06067-3712
(860) 258-7612
(860) 258-7619
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C119P1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004095742
—
CT
01
—
590006408
RAILROAD MEDICARE
CT
Enumeration date
10/10/2005
Last updated
12/17/2008
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