Provider Demographics
NPI: | 1295062784 |
---|---|
Name: | FIRST FIRE TAXATION DISTRICT CT OF WEST HAVEN |
Entity type: | Organization |
Organization Name: | FIRST FIRE TAXATION DISTRICT CT OF WEST HAVEN |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JAMES |
Authorized Official - Middle Name: | P |
Authorized Official - Last Name: | OBRIEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 203-937-3710 |
Mailing Address - Street 1: | PO BOX 165 |
Mailing Address - Street 2: | |
Mailing Address - City: | BRANFORD |
Mailing Address - State: | CT |
Mailing Address - Zip Code: | 06405-0165 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 606-633-6348 |
Mailing Address - Fax: | 860-452-4430 |
Practice Address - Street 1: | 366 ELM STREET |
Practice Address - Street 2: | |
Practice Address - City: | WEST HAVEN |
Practice Address - State: | CT |
Practice Address - Zip Code: | 06516-4206 |
Practice Address - Country: | US |
Practice Address - Phone: | 203-937-3710 |
Practice Address - Fax: | 203-937-3721 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-11-04 |
Last Update Date: | 2025-06-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 341600000X | Transportation Services | Ambulance |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CT | D100119599 | Medicare PIN |