Healthcare Provider Details

I. General information

NPI: 1285677369
Provider Name (Legal Business Name): TOWN OF MORRISTOWN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

539 WASHINGTON HIGHWAY
MORRISVILLE VT
05661-0424
US

IV. Provider business mailing address

PO BOX 748
MORRISVILLE VT
05661-0748
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-5628
  • Fax: 802-888-6380
Mailing address:
  • Phone: 802-888-6374
  • Fax: 802-888-6378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number0404
License Number StateVT

VIII. Authorized Official

Name: MR. DANIEL L LINDLEY
Title or Position: TOWN ADMINISTRATOR
Credential:
Phone: 802-888-5147