Healthcare Provider Details

I. General information

NPI: 1497852008
Provider Name (Legal Business Name): REDDING FIRE DISTRICT NO 1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2006
Last Update Date: 09/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 LACK ROCK TURNPIKE
REDDING CT
06875
US

IV. Provider business mailing address

PO BOX 1151
REDDING CT
06875
US

V. Phone/Fax

Practice location:
  • Phone: 203-797-9601
  • Fax:
Mailing address:
  • Phone: 203-797-9601
  • Fax: 203-791-1756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE GRILLO-HARDEN
Title or Position: BILLING SUPERVISOR
Credential:
Phone: 860-638-1800