Organization
CANTERBURY VOLUNTEER FIRE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND M MCGILLIVRAY (CHIEF)
(860) 546-9807
Entity
Organization
Contact information
Practice address
155 WESTMINSTER RD, CANTERBURY, CT 06331-1432
(860) 546-9807
(860) 303-2275
Mailing address
PO BOX 293, CANTERBURY, CT 06331-0293
(860) 546-9807
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004237170
COMMUNITY HEALTH
CT
05
—
004237170
—
CT
01
—
590015567
RAILROAD MEDICARE
—
01
—
710C022A2CT01
BLUE CROSS/BLUE SHIELD
CT
Enumeration date
07/22/2005
Last updated
05/10/2024
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