Organization
BOZRAH VOLUNTEER FIRE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED POTTER (PRESIDENT)
(860) 887-9474
Entity
Organization
Contact information
Practice address
239 FITCHVILLE RD, BOZRAH, CT 06334-1111
(860) 887-9474
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
C013B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004133287
—
CT
01
—
710C013B1CT01
BLUE CROSS AND BLUE SHIELD
CT
01
—
ZA1808
HEALTHNET
CT
Enumeration date
09/20/2006
Last updated
03/18/2013
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