Organization
BRIDGEWATER FIRE CO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
9553 ST RT 20, BRIDGEWATER, NY 13313-0365
(315) 822-3161
(315) 822-0143
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01486479
—
NY
01
—
590009225
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
09/04/2008
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