Organization
EAST WINDSOR AMBULANCE ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS J CLYNCH III (AMBULANCE CHIEF)
(860) 654-0515
Entity
Organization
Contact information
Practice address
25 SCHOOL ST, EAST WINDSOR, CT 06088-9511
(860) 654-0515
(860) 623-5289
Mailing address
PO BOX 188, EAST WINDSOR, CT 06088-0188
(860) 654-0515
(860) 623-5289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
CT
3416L0300X
Land Ambulance
Primary
C047P1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004138055
—
CT
01
—
104834400
DEPT OF LABOR
—
01
—
590009265
RAILROAD MEDICARE
—
01
—
777989
CONNECTICARE
—
Enumeration date
08/16/2005
Last updated
03/15/2012
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