NPI 1043208416

American Legion Ambulance Fund INC

Organisation Ambulance Moosup, CT

Practice location

Address: 298 Main St, Moosup, CT 06354-1016
Phone: (860) 564-7410
Fax: (860) 564-3386
Mailing address: PO Box 290184, Wethersfield, CT 06129-0184

Authorised official

Name: Mary T Gentile
Title: Authorized Agent
Phone: (800) 452-8191

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence C109B1 (CT)

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Registry record

NPI: 1043208416
Entity type: Organization
NPI issued: 11 Oct 2005
Record last updated: 4 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.