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
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