Provider Demographics
NPI:1972518694
Name:NEW BRITAIN EMERGENCY MEDICAL SERVICES, INC
Entity type:Organization
Organization Name:NEW BRITAIN EMERGENCY MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-225-8787
Mailing Address - Street 1:225 ARCH ST
Mailing Address - Street 2:PO BOX 2018
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2518
Mailing Address - Country:US
Mailing Address - Phone:800-903-4927
Mailing Address - Fax:816-431-4973
Practice Address - Street 1:225 ARCH ST
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2518
Practice Address - Country:US
Practice Address - Phone:800-903-4927
Practice Address - Fax:816-431-4973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC089P13416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004072401Medicaid
CTANTHEM BLUE CROSSOther710C089A2CT01
CT590000086Medicare ID - Type Unspecified