Healthcare Provider Details

I. General information

NPI: 1376762864
Provider Name (Legal Business Name): HARDWICK RESCUE & EMERGENCY SQUAD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

482 LOWER ROAD
GILBERTVILLE MA
01031-0447
US

IV. Provider business mailing address

PO BOX 447
GILBERTVILLE MA
01031-0447
US

V. Phone/Fax

Practice location:
  • Phone: 413-477-0008
  • Fax:
Mailing address:
  • Phone: 413-477-0008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146N00000X
TaxonomyBasic Emergency Medical Technician
License Number
License Number StateMA

VIII. Authorized Official

Name: MR. BRUCE A. GASCO
Title or Position: DIRECTOR
Credential:
Phone: 508-450-3878