Healthcare Provider Details

I. General information

NPI: 1841233111
Provider Name (Legal Business Name): NEWPORT AMBULANCE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 UNION ST
NEWPORT VT
05855-5523
US

IV. Provider business mailing address

PO BOX 911
NEWPORT VT
05855-0911
US

V. Phone/Fax

Practice location:
  • Phone: 802-334-2023
  • Fax: 802-334-7536
Mailing address:
  • Phone: 802-334-2023
  • Fax: 802-334-7536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0207
License Number StateVT

VIII. Authorized Official

Name: MR. MICHAEL A PARADIS
Title or Position: CEO
Credential:
Phone: 802-334-2023