LEBANON VOLUNTEER FIRE DEPARTMENT (NPI# 1295720043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295720043 |
Entity Type | Organization |
Organization Name | LEBANON VOLUNTEER FIRE DEPARTMENT |
Practice Address |
23 Goshen Hill Rd Lebanon CT 06249-1710 |
Mailing Address |
269 Main St Cromwell CT 06416-2302 |
Practice Telephone | 8606427546 |
Mailing Telephone | 8606381800 |
Mailing Fax Number | 8606381802 |
Enumeration Date | 2005-09-19 |
Last Update Date | 2010-09-17 |
Authorized Official Name | BETSY PETRIE (CAPTAIN) |
Authorized Official Telephone | 8606427546 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HEALTHNET | CU6728 | 01 | |
BLUE CROSS/BLUE SHIELD | 710C071B1CT01 | 01 | |
CT | 004239952 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | LEBANON VOLUNTEER FIRE DEPARTMENT INC | 23 Goshen Hill Rd, Lebanon, CT 06249 |
Street Address |
23 GOSHEN HILL RD |
City | LEBANON |
State | CT |
Zip Code | 06249-1710 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003960022 | Southeastern Council On Alcoholism and Drug Dependence Inc | Substance Abuse Rehabilitation Facility | 37 Camp Mooween Road, Lebanon, CT 06249 | 2007-01-23 |
1326186404 | Nusie M Halpine | Social Worker | 100 Kingsley Rd, Lebanon, CT 06249-1028 | 2007-02-02 |
1003833005 | Thomas Pawlowski Dba Thomas Respiratory Health Care | Durable Medical Equipment & Medical Supplies | 385 Beaumont Hwy, Lebanon, CT 06249-1103 | 2006-07-16 |
1467631150 | Thomas E Pawlowski | Specialist | 385 Beaumont Hwy, Lebanon, CT 06249-1146 | 2007-10-30 |
1871063800 | Victoria F Tuttle | Physical Therapy Assistant | 282 Exeter Rd, Lebanon, CT 06249-1321 | 2018-12-03 |
1295062156 | Danielle Tope | Psychologist | 48 Williams Crossing Rd, Lebanon, CT 06249-1339 | 2009-11-12 |
1538595731 | Sarah Strielkauskas | Physical Therapist | 92 Synagogue Rd, Lebanon, CT 06249-1419 | 2013-09-19 |
1326469024 | Sugati Health and Wellness | Clinic/Center | 37 W Town St, Lebanon, CT 06249-1536 | 2013-12-23 |
1992803365 | Lynn Carol Ereshena-manning | Social Worker | 39 W Town St, Lebanon, CT 06249-1536 | 2006-09-20 |
1184701393 | John Howe Reed Sr. | Counselor | 525 Exeter Rd, Lebanon, CT 06249-1544 | 2006-11-01 |
Find all providers in zip 06249 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1487837241 | Skmp Enterprises, Inc. | Ambulance | 279 Noble Ave, Bridgeport, CT 06608-2210 | 2007-12-14 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.