Organization
AMERICAN LEGION COMMUNITY AMBULANCE INC
Active
Other names
GRISWOLD AMERICAN LEGION AMBULANCE
Organization subpart
No
Provider details
NPI number
Authorized official
BILL CZMYR (PRESIDENT)
(860) 376-3080
Entity
Organization
Contact information
Practice address
20 SOULE ST, JEWETT CITY, CT 06351-2217
(860) 376-3080
(860) 376-7703
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
—
004110144
—
CT
01
—
590008427
RAILROAD MEDICARE
—
01
—
710C058B1CT01
BLUE CROSS/BLUE SHIELD
—
01
—
Z09748
HEALTHNET
—
Enumeration date
07/22/2005
Last updated
09/22/2010
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