Provider Demographics
NPI:1780672220
Name:BURLINGTON VOLUNTEER FIRE DEPARTMENT INC.
Entity Type:Organization
Organization Name:BURLINGTON VOLUNTEER FIRE DEPARTMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAVILAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-675-2183
Mailing Address - Street 1:719 GEORGE WASHINGTON TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06013-0285
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:978-356-2721
Practice Address - Street 1:719 GEORGE WASHINGTON TURNPIKE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06013-0285
Practice Address - Country:US
Practice Address - Phone:860-675-2183
Practice Address - Fax:860-675-2185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTC020P1341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1780672220Medicaid
CT590010827OtherMEDICARE RAILROAD
CTD100000035Medicare PIN