MEDICARE: THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	C008B1	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590012110	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679561120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED

Provider Business Mailing Address
First Line	:	765 AMITY RD
Second Line	:
City	:	BETHANY
State	:	CT
Zip	:	06524-3028
Country	:	US
Telephone Number	:	203-393-2799
Fax Number	:	203-234-0776

Provider Business Practice Location Address
First Line	:	765 AMITY RD
Second Line	:
City	:	BETHANY
State	:	CT
Zip	:	06524-3028
Country	:	US
Telephone Number	:	203-393-2799
Fax Number	:	203-234-0776

Authorized Official
Title or Position	:	DIRECTOR
Name	:	STEVEN KIRSCHBAUM
Credential	:
Telephone Number	:	203-747-4317

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	11/13/2024

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