THE MORTLAKE FIRE COMPANY OF BROOKLYN CONNECTICUT INC (NPI# 1285629964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285629964 |
| Entity Type | Organization |
| Organization Name | THE MORTLAKE FIRE COMPANY OF BROOKLYN CONNECTICUT INC |
| Practice Address |
12 Canterbury Rd Brooklyn CT 06234-1902 |
| Mailing Address |
269 Main St Cromwell CT 06416-2302 |
| Practice Telephone | 8607742032 |
| Mailing Telephone | 8606381800 |
| Mailing Fax Number | 8606381802 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2010-01-09 |
| Authorized Official Name | LUCIEN BRODEUR (CHIEF) |
| Authorized Official Telephone | 8607742032 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS/BLUE SHIELD | 710C019B1CT01 | 01 | |
| CT | 004094538 | 05 | |
| RAILROAD MEDICARE | 590006253 | 01 |
| Street Address |
12 CANTERBURY RD |
| City | BROOKLYN |
| State | CT |
| Zip Code | 06234-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427613645 | Brenda Jean Wrenn | Driver | 153 Church St, Brooklyn, CT 06234 | 2019-05-02 |
| 1205353026 | Brook Bachand | Massage Therapist | 538b Providence Road, Brooklyn, CT 06234 | 2017-08-23 |
| 1407015977 | Sarah Anne Pasiakos | Speech-Language Pathologist | 50 Westview Drive, Brooklyn, CT 06234 | 2008-06-09 |
| 1396957965 | Classic Homemakers LLC | Chore Provider | 167 Stetson Rd, Brooklyn, CT 06234 | 2007-05-04 |
| 1699799130 | Pierce Memorial Baptist Home, Inc. | Nursing Facility/Intermediate Care Facility | 44 Canterbury Road, Brooklyn, CT 06234 | 2006-07-27 |
| 1366871220 | Quiet Corner Eyecare, LLC | Optometrist | 450 Providence Rd, Walmart Vision Center, Brooklyn, CT 06234 | 2013-11-01 |
| 1013050053 | Day Drug Inc | Pharmacy | 50 South Main Street, Brooklyn, CT 06234 | 2007-02-15 |
| 1538125455 | Maria J Brennan | Nurse Practitioner | 63 Canterbury Rd, Windham Urology Group, Brooklyn, CT 06234 | 2006-04-21 |
| 1184927659 | The Learning Clinic, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2010-12-06 |
| 1932761202 | Tessa Lynn Depasquale | Counselor | 476 Pomfret Rd, Brooklyn, CT 06234-1526 | 2019-07-08 |
| Find all providers in zip 06234 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124246343 | East Midwood Volunteer Ambulance Corps Incorporated | Ambulance | 744 - Coney Island Avenue, Brooklyn, NY 11218 | 2007-04-23 |
| 1306935101 | Town of Brooklyn | Ambulance | 134 Jackson, Brooklyn, IA 52211-0269 | 2006-10-12 |
| 1083715460 | New York City Health and Hospitals Corporation | Ambulance | 9 Metrotech Ctr, 5e-3, Brooklyn, NY 11201-5431 | 2006-09-26 |
| 1205948072 | Coling Medical Transport Inc | Ambulance | 347 Rockaway Ave, Brooklyn, NY 11212-5633 | 2006-08-31 |
| 1144279126 | Bedford-stuyvesant Volunteer Ambulance Corps | Ambulance | 727 Greene Ave, Brooklyn, NY 11221-1904 | 2006-05-08 |
| 1467440834 | Bedford Stuyvesant Vol Amb | Ambulance | 561 Lexington Ave, Brooklyn, NY 11221-1807 | 2005-10-11 |
| 1114920774 | Lifeline Ambulance Service Inc | Ambulance | 2593 W 13th St, Brooklyn, NY 11223-5812 | 2005-05-27 |
| 1215930193 | Transcare New York, Inc. | Ambulance | 25 14th St, Brooklyn, NY 11215-4614 | 2005-05-24 |
| 1336681725 | Instacare 1 LLC | Ambulance | 1416 38th St, Brooklyn, NY 11218-3641 | 2016-11-16 |
| 1144223710 | Midwood Ambulance & Oxygen Service Inc | Ambulance | 2593 W 13th St, Brooklyn, NY 11223-5812 | 2005-05-27 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.