Healthcare Provider Details

I. General information

NPI: 1801881511
Provider Name (Legal Business Name): TOWN OF NORTH BRANFORD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2005
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1351 MIDDLETOWN AVE
NORTHFORD CT
06472
US

IV. Provider business mailing address

8 TURCOTTE MEMORIAL DR
ROWLEY MA
01969-1706
US

V. Phone/Fax

Practice location:
  • Phone: 203-484-6002
  • Fax:
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-356-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberC099B1
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberC099B1
License Number StateCT

VIII. Authorized Official

Name: MR. WILLIAM H SEWARD
Title or Position: FIRE CHIEF
Credential:
Phone: 203-484-0689