Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gardner Lake Volunteer Fire Company

Organization Ambulance · NPI 1164410601

Gardner Lake Volunteer Fire Company is an Ambulance in Salem, Connecticut. Licensed in Connecticut. Registered with an NPI since 2005.

Licensed in
CT
In the registry since
2005

Practice location Address checks out

429 Old Colchester Rd
Salem, CT 06420-3748
Phone: (860) 859-1743
Fax: (860) 892-5392
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulance (primary) Taxonomy 341600000X · Licence C121B1 (CT)

Record details

NPI number1164410601
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Gentile — Authorized Agent · (800) 452-8191
NPI enumeratedOctober 10, 2005
Last updated in NPPESSeptember 23, 2008
Mailing addressPo Box 290184, Wethersfield, CT 06129-0184