EAST GRANBY AMBULANCE ASSN; NPI #1720070915

Contact Information

EAST GRANBY AMBULANCE ASSN

6 MEMORIAL DR
EAST GRANBY, CT 06026-9632

Phone: 860-653-4165
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for EAST GRANBY AMBULANCE ASSN

NPI Number 1720070915

LBN Legal business name EAST GRANBY AMBULANCE ASSN

Authorized official DELORES LINDQUIST - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/16/2005

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

Identifiers

CT	License #	C040B1
CT	Medicaid	004186509
	Other	00418650900	BLUE CARE FAMILY
	Other	701985	CONNECTICARE
	Other	356979800	DEPT OF LABOR
	Other	P00006599	RAILROAD MEDICARE
CT	Other	710C040B1CT01	ANTHEM BLUECROSSBLUESHIEL

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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EAST GRANBY AMBULANCE ASSN

Contact Information

Specialty

Ambulance

NPI Profile & details for EAST GRANBY AMBULANCE ASSN

Reviews for EAST GRANBY AMBULANCE ASSN