Organization
EAST HAMPTON AMBULANCE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER SMITH (CHIEF)
(860) 267-0508
Entity
Organization
Contact information
Practice address
4 MIDDLETOWN AVE, EAST HAMPTON, CT 06424
(860) 267-9679
(860) 267-2372
Mailing address
269 MAIN ST, CROMWELL, CT 06416-2302
(860) 638-1800
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004010260
COMMUNITY HEALTH
—
05
—
004010260
—
CT
01
—
590013699
RAILROAD MEDICARE
—
01
—
710C042A2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
Z010734
HEALTH NET
—
Enumeration date
07/22/2005
Last updated
04/16/2013
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