Organization
TOWN OF MANCHESTER
Active
Other names
Manchester Fire Rescue and EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT SHANLEY (GENERAL MANAGER)
(860) 647-3124
Entity
Organization
Contact information
Practice address
75 CENTER ST, MANCHESTER, CT 06040-5002
(860) 647-3266
(860) 647-3268
Mailing address
41 CENTER ST, MANCHESTER, CT 06040-5090
(860) 647-3124
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
C077P2
CT
3416L0300X
Land Ambulance
Primary
C077P2
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008001469
—
CT
01
—
710C077A5CT01
ANTHEM BLUE CROSS BLUE SHIELD
—
Enumeration date
03/08/2007
Last updated
07/02/2012
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