Provider Demographics
NPI:1518060334
Name:HUNTER'S AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:HUNTER'S AMBULANCE SERVICE, INC.
Other - Org Name:HUNTER'S MIDDLESEX AMBULANCE SERVICE INC
Other - Org Type:Other Name
Authorized Official - Title/Position:CENTRAL REGION PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVICAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-224-5723
Mailing Address - Street 1:1290 SILAS DEANE HIGHWAY
Mailing Address - Street 2:1ST FLOOR, SUITE 102
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-4337
Mailing Address - Country:US
Mailing Address - Phone:860-972-7145
Mailing Address - Fax:860-972-7040
Practice Address - Street 1:540 W. MAIN STREET
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2708
Practice Address - Country:US
Practice Address - Phone:203-235-3369
Practice Address - Fax:203-514-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008041368OtherCHAIRCAR