Organization
CLINTON VOLUNTEER FIRE DEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER M LIZOTTE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
35 E MAIN ST, CLINTON, CT 06413-2049
(860) 669-8131
(860) 664-7650
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
C027B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00121278
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
08/22/2020
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