Provider Demographics
NPI:1619965167
Name:ECHO HOSE HOOK AND LADDER AMBULANCE CORPS., INC.
Entity Type:Organization
Organization Name:ECHO HOSE HOOK AND LADDER AMBULANCE CORPS., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREENE
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 1:100 MEADOW ST
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:CT
Practice Address - Zip Code:06484-2265
Practice Address - Country:US
Practice Address - Phone:203-924-9211
Practice Address - Fax:203-294-6603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC126B13416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport