Healthcare Provider Details

I. General information

NPI: 1417023532
Provider Name (Legal Business Name): ARLINGTON RESCUE SQUAD INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CHITTENDEN DR.
ARLINGTON VT
05250
US

IV. Provider business mailing address

66 CHITTENDEN DR.
ARLINGTON VT
05250
US

V. Phone/Fax

Practice location:
  • Phone: 802-375-6589
  • Fax: 802-375-2716
Mailing address:
  • Phone: 802-375-6589
  • Fax: 802-375-2716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1201
License Number StateVT

VIII. Authorized Official

Name: MR. JOSEPH T ROBERTS
Title or Position: BILLING COORDINATOR
Credential: EMT-I
Phone: 802-375-6589