Organization
AMBULANCE SERVICE OF MANCHESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE ALFRED WRIGHT (PRESIDENT)
(860) 647-9798
Entity
Organization
Contact information
Practice address
275 NEW STATE RD, MANCHESTER, CT 06042-1810
(860) 647-9798
(860) 645-8738
Mailing address
PO BOX 300, MANCHESTER, CT 06045-0300
(860) 647-9798
(860) 645-8738
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
L077P2
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004205052
—
CT
Enumeration date
08/25/2006
Last updated
05/14/2009
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