Organization
BETHEL VOL FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE A. CORNWELL (TREASURER)
(203) 778-9414
Entity
Organization
Contact information
Practice address
36-40 SOUTH ST, BETHEL, CT 06801
(203) 797-9601
(203) 791-1756
Mailing address
269 MAIN STREET, CROMWELL, CT 06416-2302
(860) 638-1818
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
C009B2
CT
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001707
—
CT
Enumeration date
08/06/2008
Last updated
11/21/2013
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