Provider Demographics
NPI:1205836129
Name:THE CHESTERFIELD FIRE COMPANY INCORPORATED
Entity Type:Organization
Organization Name:THE CHESTERFIELD FIRE COMPANY INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-443-0015
Mailing Address - Street 1:269 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2302
Mailing Address - Country:US
Mailing Address - Phone:800-437-8347
Mailing Address - Fax:860-638-1800
Practice Address - Street 1:1606 ROUTE 85
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:CT
Practice Address - Zip Code:06370-1715
Practice Address - Country:US
Practice Address - Phone:860-443-0015
Practice Address - Fax:860-443-3481
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004173465Medicaid
CU2680OtherHEALTHNET
00417346500OtherBLUE CARE FAMILY PLAN
CT710C086C2CT01OtherBLUE CROSS/BLUE SHIELD
CT710C086C2CT01OtherBLUE CROSS/BLUE SHIELD