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NPI Code Detail

MEDICARE: MISSISQUOI VALLEY RESCUE, INC.

MEDICARE: MISSISQUOI VALLEY RESCUE, INC.
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
13416L0300XLand Ambulance0107VT

Other Identifiers

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

General Provider Information

NPI Number : 1356325716
Entity Type Code : Organization
Provider Name (Legal Business Name) : MISSISQUOI VALLEY RESCUE, INC.
Provider Business Mailing Address
First Line : PO BOX 22
Second Line :
City : SWANTON
State : VT
Zip : 05488-0022
Country : US
Telephone Number : 802-868-2352
Fax Number : 802-868-9092
Provider Business Practice Location Address
First Line : 120 1ST ST
Second Line :
City : SWANTON
State : VT
Zip : 05488-1115
Country : US
Telephone Number : 802-868-2352
Fax Number : 802-868-9092
Authorized Official
Title or Position : VICE-PRESIDENT
Name : MR. DAVID EDMUND ST. PIERRE
Credential : EMT-I03
Telephone Number : 802-868-4540
Provider Enumeration Date : 11/30/2005
Last Update Date : 10/17/2007

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Directions to “MISSISQUOI VALLEY RESCUE, INC. ” Practice Location

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