| Organization Name: | OLD SAYBROOK AMBULANCE ASSN INC. |
| NPI Number: | 1063402527 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRANK C BETH (PRESIDENT) |
| Mailing Address: | 316 Main Street Old Saybrook |
| State: | CT US |
| Postal Code: | 06475 |
| Phone Number: | 8603880161 |
| Fax Number: | 8603889548 |
| NPI Enumeration Date: | 10/26/2005 |
| NPI Last Update Date: | 08/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |