Organization
EASTON VOLUNTEER EMERGENCY MEDICAL SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
448 SPORT HILL RD, EASTON, CT 06612-1744
(203) 452-9595
(203) 374-8733
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
C046B1
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004250073
—
CT
01
—
P00194148
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
04/28/2010
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