Healthcare Provider Details

I. General information

NPI: 1861474272
Provider Name (Legal Business Name): CALEDONIA-ESSEX AREA AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2005
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1453 HOSPITAL DRIVE
ST. JOHNSBURY VT
05819
US

IV. Provider business mailing address

PO BOX 8648
ESSEX VT
05451-8648
US

V. Phone/Fax

Practice location:
  • Phone: 802-748-7544
  • Fax: 802-748-7545
Mailing address:
  • Phone: 877-398-1519
  • Fax: 802-871-5352

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number0509
License Number StateVT

VIII. Authorized Official

Name: MS. PAMELA REXFORD SCOTT
Title or Position: CFO
Credential: CFO
Phone: 802-748-7544