1518060334 NPI number — HUNTER'S AMBULANCE SERVICE, INC.

Table of content: (NPI 1518060334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518060334 NPI number — HUNTER'S AMBULANCE SERVICE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HUNTER'S AMBULANCE SERVICE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HUNTER'S MIDDLESEX AMBULANCE SERVICE INC
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518060334
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/28/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1290 SILAS DEANE HIGHWAY
Provider Second Line Business Mailing Address:
1ST FLOOR, SUITE 102
Provider Business Mailing Address City Name:
WETHERSFIELD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06109-4337
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-972-7145
Provider Business Mailing Address Fax Number:
860-972-7040

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
540 W. MAIN STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MERIDEN
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06451-2708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-235-3369
Provider Business Practice Location Address Fax Number:
203-514-5122
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
HAVICAN
Authorized Official First Name:
GARY
Authorized Official Middle Name:
Authorized Official Title or Position:
CENTRAL REGION PRESIDENT
Authorized Official Telephone Number:
860-224-5723

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 343800000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 008041368 . This is a "CHAIRCAR" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




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