Organization
TOWN OF ENFIELD BOARD OF EDUCATION
Active
Other names
TOWN OF ENFIELD EMS
Organization subpart
No
Provider details
NPI number
Authorized official
GARY WIEMOKLY (EMS DIRECTOR)
(860) 253-2543
Entity
Organization
Contact information
Practice address
1296 ENFIELD ST, ENFIELD, CT 06082-4912
(860) 253-5243
Mailing address
8 TURCOTTE MEMORIAL DR, C/O COMSTAR, ROWLEY, MA 01969-1706
(800) 488-4351
(978) 356-2721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C049P1
CT
3416L0300X
Land Ambulance
C049P1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004243622
—
CT
01
—
611447600
DEPT OF LABOR
—
01
—
661997
CONNECTICARE
—
01
—
710C049B1CT01
ANTHEM BCBS
CT
01
—
710C049B1CT01
BLUE CARE FAMILY
—
01
—
P00238538
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
07/01/2016
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