Organization
THE COMMUNITY FIRE COMPANY OF NORTH GROSVENORDALE CT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERRILL SENEY (PRESIDENT)
(860) 923-9444
Entity
Organization
Contact information
Practice address
862 RIVERSIDE DR, NORTH GROSVENORDALE, CT 06255-1729
(860) 923-9444
(860) 923-9720
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004173895
—
CT
01
—
710C141A2CT01
BLUE CROSS/BLUE SHIELD
—
Enumeration date
07/22/2005
Last updated
05/29/2019
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