Provider Demographics
NPI:1497852008
Name:REDDING FIRE DISTRICT NO 1
Entity Type:Organization
Organization Name:REDDING FIRE DISTRICT NO 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRILLO-HARDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-638-1800
Mailing Address - Street 1:PO BOX 1151
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CT
Mailing Address - Zip Code:06875
Mailing Address - Country:US
Mailing Address - Phone:203-797-9601
Mailing Address - Fax:203-791-1756
Practice Address - Street 1:186 LACK ROCK TURNPIKE
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CT
Practice Address - Zip Code:06875
Practice Address - Country:US
Practice Address - Phone:203-797-9601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-19
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT590000182Medicare PIN