| Organization Name: | OLD MYSTIC FIRE DISTRICT |
| NPI Number: | 1073981536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENNETH W. RICHARDS (FIRE CHIEF/FIRE MARSHAL) |
| Mailing Address: | 295 Cow Hill Rd Mystic |
| State: | CT US |
| Postal Code: | 063551407 |
| Phone Number: | 8605362220 |
| Fax Number: | 8605367811 |
| NPI Enumeration Date: | 09/14/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146N00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Basic |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |