Healthcare Provider Details

I. General information

NPI: 1679561120
Provider Name (Legal Business Name): THE BETHANY VOLUNTEER FIREMENS ASSOCIATION INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 AMITY RD
BETHANY CT
06524-3028
US

IV. Provider business mailing address

765 AMITY RD
BETHANY CT
06524-3028
US

V. Phone/Fax

Practice location:
  • Phone: 203-393-2799
  • Fax: 203-234-0776
Mailing address:
  • Phone: 203-393-2799
  • Fax: 203-234-0776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberC008B1
License Number StateCT

VIII. Authorized Official

Name: STEVEN KIRSCHBAUM
Title or Position: DIRECTOR
Credential:
Phone: 203-747-4317