Organization
DEEP RIVER AMBULANCE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CASTLEVETRO (BILLING MANAGER)
(860) 663-3634
Entity
Organization
Contact information
Practice address
284 W ELM ST, DEEP RIVER, CT 06417-1617
(860) 663-3634
(860) 663-3795
Mailing address
PO BOX 274, DEEP RIVER, CT 06417-0274
(860) 663-3634
(860) 663-3795
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
E3581
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
495263
CONNECTICARE
CT
01
—
CT8252
HEALTHNET
CT
01
—
N291876
OXFORD
CT
Enumeration date
10/10/2006
Last updated
08/22/2020
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