Organization
AETNA AMBULANCE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE ALFRED WRIGHT (PRESIDENT)
(860) 647-9798
Entity
Organization
Contact information
Practice address
140 VAN BLOCK AVE, HARTFORD, CT 06106-2845
(860) 247-6792
(860) 724-3384
Mailing address
PO BOX 1150, MANCHESTER, CT 06045-1150
(860) 240-7575
(860) 643-0759
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
L064P2
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004072120
—
CT
Enumeration date
03/26/2007
Last updated
05/13/2008
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