Organization
TOWN OF CANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN BUNNELL (ASSISTANT CHIEF)
(860) 693-7852
Entity
Organization
Contact information
Practice address
51 RIVER RD, COLLINSVILLE, CT 06019-3174
(860) 293-2325
(860) 693-2371
Mailing address
8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
(800) 488-4351
(978) 356-2721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C023I1
CT
3416L0300X
Land Ambulance
C023I1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004246254
—
CT
01
—
P00085180
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
07/01/2016
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