=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972518694
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NEW BRITAIN EMERGENCY MEDICAL SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/30/2006
-----------------------------------------------------
Last Update Date | 07/22/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 ARCH ST
-----------------------------------------------------
City | NEW BRITAIN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06051-2518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-903-4927
-----------------------------------------------------
Fax | 816-431-4973
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 ARCH ST PO BOX 2018
-----------------------------------------------------
City | NEW BRITAIN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06051-2518
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-903-4927
-----------------------------------------------------
Fax | 816-431-4973
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | MR. BRUCE BAXTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 860-225-8787
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number | C089P1
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------