Organization
BRISTOL HOSPITAL EMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY A AJAYI CPA (CFO)
(860) 585-3024
Entity
Organization
Contact information
Practice address
371 TERRYVILLE AVE, BRISTOL, CT 06010-4029
(860) 585-3679
(860) 585-3110
Mailing address
371 TERRYVILLE AVE, BRISTOL, CT 06010-4029
(860) 585-3157
(860) 585-3110
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
L017P2
CT
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004201117
—
CT
Enumeration date
11/03/2005
Last updated
10/10/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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