Healthcare Provider Details

I. General information

NPI: 1144287103
Provider Name (Legal Business Name): RESCUE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 06/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 CANAL ST
BRATTLEBORO VT
05301-6624
US

IV. Provider business mailing address

PO BOX 593 541 CANAL ST.
BRATTLEBORO VT
05302-0593
US

V. Phone/Fax

Practice location:
  • Phone: 802-257-7679
  • Fax: 802-254-6679
Mailing address:
  • Phone: 800-488-4351
  • Fax: 978-346-2721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0136
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1305
License Number StateVT

VIII. Authorized Official

Name: DREW HAZELTON
Title or Position: CHIEF OF OPERATIONS
Credential:
Phone: 802-257-7679