Provider Demographics
NPI:1861563686
Name:NAUGATUCK AMBULANCE INC
Entity type:Organization
Organization Name:NAUGATUCK AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTORU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-729-5362
Mailing Address - Street 1:PO BOX 249
Mailing Address - Street 2:246 RUBBER AVE
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770
Mailing Address - Country:US
Mailing Address - Phone:203-729-5362
Mailing Address - Fax:203-729-2194
Practice Address - Street 1:246 RUBBER AVE
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770
Practice Address - Country:US
Practice Address - Phone:203-729-5362
Practice Address - Fax:203-729-2194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC088P1341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
00413592800OtherBLUE CROSS FAMILY