Organization
TOWN OF LEDYARD
Active
Other names
LEDYARD VOL. EMERGENCY SQUAD
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY IVEY (DIRECTOR)
(860) 464-8222
Entity
Organization
Contact information
Practice address
741 R COL LEDYARD HIGHWAY, LEDYARD, CT 06339
(860) 464-8222
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
05
—
004161444
—
CT
01
—
590010517
RAILROAD MEDICARE
—
01
—
710C072B1CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CT6659
HEALTHNET
—
Enumeration date
09/20/2005
Last updated
01/20/2010
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