Organization
SOUTH WINDSOR AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHIL FLUERY (EMS DIRECTOR)
(860) 282-0669
Entity
Organization
Contact information
Practice address
151A SAND HILL RD, SOUTH WINDSOR, CT 06074-2094
(860) 648-6246
(860) 644-1572
Mailing address
8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
(800) 488-4351
(978) 356-2721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C132B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004189751
—
CT
01
—
590013482
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
01/06/2014
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