Healthcare Provider Details

I. General information

NPI: 1780672220
Provider Name (Legal Business Name): BURLINGTON VOLUNTEER FIRE DEPARTMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 05/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

719 GEORGE WASHINGTON TURNPIKE
BURLINGTON CT
06013-0285
US

IV. Provider business mailing address

719 GEORGE WASHINGTON TURNPIKE
BURLINGTON CT
06013-0285
US

V. Phone/Fax

Practice location:
  • Phone: 860-675-2183
  • Fax: 860-675-2185
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberC020P1
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JOHN HAVILAND
Title or Position: CHIEF
Credential:
Phone: 860-675-2183