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Organization

THE LISBON FIRE DEPARTMENT INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID ALEN GIFFORD (CHIEF OF SERVICE)
(860) 376-2558
Entity
Organization

Contact information

Practice address
45 NEWENT RD, LISBON, CT 06351-2938
(860) 376-2558
(860) 376-0493
Mailing address
PO BOX 165, BRANFORD, CT 06405-0165
(860) 663-3634
(860) 452-4430

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C073B1
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004245173
CT
01
P000110169
RR MEDICARE
01
P00110169
RAILROAD MEDICARE
Enumeration date
10/26/2005
Last updated
07/23/2026
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