1437315751 NPI number — BETHEL VOLUNTEER FIRE DEPARTMENT, INC

Table of content: (NPI 1437315751)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437315751 NPI number — BETHEL VOLUNTEER FIRE DEPARTMENT, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BETHEL VOLUNTEER FIRE DEPARTMENT, 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:
Provider Other Organization Name Type Code:
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:
1437315751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 165
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BRANFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06405-0165
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
860-663-3634
Provider Business Mailing Address Fax Number:
860-452-4430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
36 SOUTH STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BETHEL
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-778-7414
Provider Business Practice Location Address Fax Number:
203-791-1756
Provider Enumeration Date:
08/06/2008

Additional Information

Authorized Official

Authorized Official Last Name:
MILKOVIC
Authorized Official First Name:
WILLIAM
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
203-778-7414

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  C009B2 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3416L0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 008001707 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com