WILLINGTON FIRE DEPT #1; NPI #1063400414

Contact Information

WILLINGTON FIRE DEPT #1

426 RIVER RD
WILLINGTON, CT 06279-1310

Phone: 860-429-0288
Fax: 860-487-4545
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Ambulance	341600000X	59	Ambulance Service Provider
Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for WILLINGTON FIRE DEPT #1

NPI # 1063400414

LBN Legal business name WILLINGTON FIRE DEPT #1

Authorized official RONALD GANTICK - (AMBULANCE CHIEF)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2005

Last updated 08/22/2013 - About 13 years ago

Identifiers

CT	License #	C160B1
CT	Medicaid	004119857
	Other	756028	CONNECTICARE
	Other	5300009415	RAILROAD MEDICARE
	Other	590009415	RAILROAD MEDICARE
CT	Other	710C160B1CT01	ANTHEM BLUE CROSS BLUE SH

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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