Provider Demographics
NPI:1114350477
Name:CITY OF MILFORD
Entity Type:Organization
Organization Name:CITY OF MILFORD
Other - Org Name:CITY OF MILFORD D/B/A MILFORD FIRE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-874-6321
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:BEACON FALLS
Mailing Address - State:CT
Mailing Address - Zip Code:06403-0131
Mailing Address - Country:US
Mailing Address - Phone:203-729-2800
Mailing Address - Fax:203-729-2808
Practice Address - Street 1:72 NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-4827
Practice Address - Country:US
Practice Address - Phone:203-874-6321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF MILFORD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-08-09
Last Update Date:2013-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC084P1341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance