Healthcare Provider Details

I. General information

NPI: 1346859089
Provider Name (Legal Business Name): GARNET TRANSPORT MEDICINE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 RIVER ST BLDG 900
ESSEX JUNCTION VT
05452-4201
US

IV. Provider business mailing address

34 BLAIR PARK RD STE 104
WILLISTON VT
05495-7991
US

V. Phone/Fax

Practice location:
  • Phone: 802-876-2300
  • Fax: 802-876-2398
Mailing address:
  • Phone: 802-876-2300
  • Fax: 802-876-2398

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN T FERRIS
Title or Position: PRESIDENT & CEO
Credential:
Phone: 802-876-2301