Healthcare Provider Details

I. General information

NPI: 1609693795
Provider Name (Legal Business Name): SAXTONS RIVER FIRST RESPONSE RESCUE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2024
Last Update Date: 09/20/2024
Certification Date: 09/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MAIN ST
SAXTONS RIVER VT
05154-9600
US

IV. Provider business mailing address

PO BOX 81
SAXTONS RIVER VT
05154-0081
US

V. Phone/Fax

Practice location:
  • Phone: 802-869-2296
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code333300000X
TaxonomyEmergency Response System Companies
License Number
License Number State

VIII. Authorized Official

Name: MR. NICHOLAS CUSHMAN
Title or Position: PRESIDENT / CEO
Credential:
Phone: 802-376-3688