Provider Demographics
NPI:1851408603
Name:GEORGETOWN FIRE DISTRICT INC
Entity Type:Organization
Organization Name:GEORGETOWN FIRE DISTRICT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MECOZZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-544-8933
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06829
Mailing Address - Country:US
Mailing Address - Phone:203-797-9601
Mailing Address - Fax:203-791-1756
Practice Address - Street 1:6 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:CT
Practice Address - Zip Code:06829
Practice Address - Country:US
Practice Address - Phone:203-797-9601
Practice Address - Fax:203-791-1756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT590000184Medicare PIN