Organization
WINSTED AREA VOLUNTEER AMBULANCE ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WHALEN (PRESIDENT)
(860) 379-6596
Entity
Organization
Contact information
Practice address
655 MAIN ST, WINSTED, CT 06098-1552
(860) 379-6596
(860) 738-4019
Mailing address
269 MAIN ST, CROMWELL, CT 06416-2302
(860) 638-1800
(860) 638-1802
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004173481
—
CT
01
—
710C162A2CT01
BLUE CROSS/BLUE SHIELD
—
01
—
CU2682
HEALTHNET
—
Enumeration date
02/09/2006
Last updated
01/08/2010
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