Organization
CHESTER HOSE COMPANY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CASTIEVETRO (BILLING AGENT)
(860) 663-3634
Entity
Organization
Contact information
Practice address
6 HIGH ST, CHESTER, CT 06412-1117
(860) 526-0019
(860) 526-6450
Mailing address
195 ROUTE 80, KILLINGWORTH, CT 06419-1400
(860) 663-3634
(860) 663-3795
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C026B2
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004216546
—
CT
01
—
P00174598
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
09/24/2013
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