Organization Name: | TOWN OF PLYMOUTH VOLUNTEER AMBULANCE CORPS |
NPI Number: | 1154394336 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LANI JOHNSON (PRESIDENT) |
Mailing Address: | 191 Main St Terryville |
State: | CT US |
Postal Code: | 067866219 |
Phone Number: | 8605845370 |
Fax Number: | 8605898554 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 09/21/2010 |
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: |