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EAST HAVEN FIRE DEPARTMENT
NPI 1164651782
Ambulance in East Haven, CT

Active since July 02, 2009CLIA 07D2315079 · Waiver
200 MAIN ST, EAST HAVEN, CT 06512(203) 468-3840(203) 468-3921 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About East Haven Fire Department NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST HAVEN FIRE DEPARTMENT (NPI 1164651782) is a healthcare organization registered as an ambulance in East Haven, Connecticut and active in the NPI registry since July 2009. The organization holds a CLIA Waiver certificate valid through December 4, 2026 and lists Douglas Frank Jackson, Fire Chief, as its authorized official.

NPPES Registry Identity

NPI1164651782
Entity TypeOrganization
Primary Taxonomy341600000X
Legal Business NameTOWN OF EAST HAVEN
Location Address200 MAIN STEast Haven, CT 06512-3005
Mailing Address200 Main StEast Haven, CT 06512-3005 · (203) 308-2500 · Fax (203) 516-5517
Phone(203) 468-3840
Fax(203) 468-3921
Organization SubpartNo
Authorized OfficialDouglas Frank JacksonFire Chief · (203) 468-3221
Enumeration DateJuly 2, 2009
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1164651782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAmbulanceTransportation Services
Taxonomy Code341600000X
License✔ Licensed in CT · C044P1
Definition
An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane).
200 MAIN ST, East Haven, CT 06512
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Other Names 1

Doing Business AsEast Haven Fire Department

Other Identifiers 1

Medicaid008062784CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D2315079

East Haven Fire Department · East Haven, CT
Active · expires Dec 4, 2026
CLIA Number07D2315079
Laboratory TypeFirst Responder Paramedic
Certificate Effective DateDecember 5, 2024
Certificate Expiration DateDecember 4, 2026
Laboratory DirectorBrian A. Arms
Laboratory Phone(203) 468-3221
Laboratory LocationEast Haven Fire Department200 Main Street, East Haven, CT 06512
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Town Of East Haven's NPI number?

The NPI number for Town Of East Haven is 1164651782. It was assigned to this organization in the NPPES registry on July 2, 2009. The provider is doing business as East Haven Fire Department.

Where is Town Of East Haven located?

Town Of East Haven is located at 200 Main St, East Haven, CT 06512. The listed phone number is (203) 468-3840.

What is Town Of East Haven's specialty?

The primary specialty registered for this NPI is Ambulance with taxonomy code 341600000X.

Does Town Of East Haven hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D2315079) is associated with this NPI, valid through December 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Town Of East Haven was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.