Provider Demographics
NPI:1558508879
Name:NEW MILFORD COMMUNITY AMBULANCE CORP
Entity Type:Organization
Organization Name:NEW MILFORD COMMUNITY AMBULANCE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HESPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-354-5058
Mailing Address - Street 1:195 ROUTE 80
Mailing Address - Street 2:
Mailing Address - City:KILLINGWORTH
Mailing Address - State:CT
Mailing Address - Zip Code:06419-1400
Mailing Address - Country:US
Mailing Address - Phone:860-663-3634
Mailing Address - Fax:860-663-3795
Practice Address - Street 1:1 SCOVILLE STREET
Practice Address - Street 2:NEW MILFORD COMMUNITY AMBULANCE CORP
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-0102
Practice Address - Country:US
Practice Address - Phone:860-335-1769
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC096B13416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008002715Medicaid
590003808OtherRAILROAD MEDICARE
CT008002715Medicaid