Healthcare Provider Details

I. General information

NPI: 1649207796
Provider Name (Legal Business Name): MISSISQUOI VALLEY AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 10/01/2021
Certification Date: 10/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 CROSS RD.
JAY VT
05859
US

IV. Provider business mailing address

P.O. BOX 153 C/O NEW ENGLAND AMBULANCE BILLING, INC.
VERGENNES VT
05491-0153
US

V. Phone/Fax

Practice location:
  • Phone: 802-988-1098
  • Fax: 802-877-2429
Mailing address:
  • Phone: 802-877-2429
  • Fax: 802-877-2292

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0206
License Number StateVT

VIII. Authorized Official

Name: MS. ANNE E MESSINGER
Title or Position: BILLING MANAGER
Credential:
Phone: 802-877-2429