MEDICARE: SHELBURNE FALLS FIRE DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	3374	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295748135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHELBURNE FALLS FIRE DISTRICT

Provider Business Mailing Address
First Line	:	121 STATE ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-1012
Country	:	US
Telephone Number	:	413-625-6392
Fax Number	:	413-625-6718

Provider Business Practice Location Address
First Line	:	121 STATE ST
Second Line	:
City	:	SHELBURNE FALLS
State	:	MA
Zip	:	01370-1012
Country	:	US
Telephone Number	:	413-625-6392
Fax Number	:	413-625-6718

Authorized Official
Title or Position	:	AMBULANCE DIRECTOR
Name	:	HERBERT GUYETTE
Credential	:
Telephone Number	:	413-625-6392

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	09/23/2022

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Directions to “SHELBURNE FALLS FIRE DISTRICT ” Practice Location

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