Provider Demographics
NPI:1205821964
Name:TOWN OF MONROE
Entity Type:Organization
Organization Name:TOWN OF MONROE
Other - Org Name:TOWN OF MONROE EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:TOMCHIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-729-2800
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 1:7 FAN HILL RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:CT
Practice Address - Zip Code:06468-1847
Practice Address - Country:US
Practice Address - Phone:203-452-5454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-19
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004127818Medicaid
590012497OtherRAILROAD MEDICARE
CT2021OtherHEALTHNET
710C085B1CT01OtherBLUE CROSS/BLUE SHIELD
710C085B1CT01OtherBLUE CROSS/BLUE SHIELD