Healthcare Provider Details

I. General information

NPI: 1932349974
Provider Name (Legal Business Name): TOWN OF EAST HARTFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2009
Last Update Date: 11/28/2022
Certification Date: 11/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 SCHOOL STREET
EAST HARTFORD CT
06108-1620
US

IV. Provider business mailing address

31 SCHOOL STREET
EAST HARTFORD CT
06108-1620
US

V. Phone/Fax

Practice location:
  • Phone: 860-291-7403
  • Fax: 860-282-9706
Mailing address:
  • Phone: 860-291-7403
  • Fax: 860-282-9706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code146L00000X
TaxonomyParamedic
License NumberC043P1
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberC043P1
License Number StateCT

VIII. Authorized Official

Name: STEPHEN JOHN ALSUP
Title or Position: ASSISTANT CHIEF
Credential:
Phone: 860-291-7400