Organization
FRANKLIN VOLUNTEER FIRE DEPT 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
5 TYLER RD, FRANKLIN, CT 06254-1126
(860) 642-1772
(860) 642-4674
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
C053B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004133021
—
CT
01
—
590009319
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
10/17/2011
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