MEDICARE: REDDING FIRE DISTRICT 2

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	CU5416	OTHER	HEALTHNET
3	710C117C2CT01	OTHER	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1538132725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDDING FIRE DISTRICT 2

Provider Business Mailing Address
First Line	:	269 MAIN ST
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-2302
Country	:	US
Telephone Number	:	860-638-1800
Fax Number	:	860-638-1802

Provider Business Practice Location Address
First Line	:	306 UMPAWAUG RD
Second Line	:
City	:	REDDING
State	:	CT
Zip	:	06896-1213
Country	:	US
Telephone Number	:	203-938-2518
Fax Number	:	203-938-9550

Authorized Official
Title or Position	:	EMS CAPTAIN
Name	:	RON ROMANO
Credential	:
Telephone Number	:	203-938-2518

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	01/20/2010

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Directions to “REDDING FIRE DISTRICT 2 ” Practice Location

Language	Start Address	Practice Location

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