Organization Name: | BANTAM FIRE COMPANY |
NPI Number: | 1255729349 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD W DUFFY (CHIEF) |
Mailing Address: | 92 Doyle Rd Bantam |
State: | CT US |
Postal Code: | 067500456 |
Phone Number: | 8605675198 |
Fax Number: | |
NPI Enumeration Date: | 12/26/2014 |
NPI Last Update Date: | 12/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | C074B1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |