Healthcare Provider Details

I. General information

NPI: 1083696157
Provider Name (Legal Business Name): TOWN OF CHESTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 ELM ST
CHESTER VT
05143-9350
US

IV. Provider business mailing address

556 ELM ST
CHESTER VT
05143-9350
US

V. Phone/Fax

Practice location:
  • Phone: 802-875-2173
  • Fax: 802-875-2237
Mailing address:
  • Phone: 802-875-2173
  • Fax: 802-875-2237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1102
License Number StateVT

VIII. Authorized Official

Name: MS. SUSAN S. SPAULDING
Title or Position: TOWN MANAGER
Credential:
Phone: 802-875-2173