Healthcare Provider Details

I. General information

NPI: 1760501126
Provider Name (Legal Business Name): TOWN OF WILTON EMERGENCY MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 DANBURY ROAD
WILTON CT
06897-4008
US

IV. Provider business mailing address

238 DANBURY ROAD FINANCE DEPARTMENT
WILTON CT
06897-4008
US

V. Phone/Fax

Practice location:
  • Phone: 203-563-0115
  • Fax: 203-563-0293
Mailing address:
  • Phone: 203-563-0115
  • Fax: 203-563-0293

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberC161B1
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberC 161B1
License Number StateNULL

VIII. Authorized Official

Name: RON HITTER
Title or Position: PRESIDENT
Credential:
Phone: 203-834-6245