Grand Isle Rescue Inc
Organization Active NPI Ambulance · Grand Isle, VT
NPI 1093956286 · NPPES record last updated May 24, 2011
Key facts
- NPI
- 1093956286
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 0305 (VT)
- Legal business name
- GRAND ISLE RESCUE INC
- Practice address
- 3 Faywood Road
Grand Isle, VT 05458 - Phone
- (802) 372-3262
- Fax
- (802) 372-3858
- NPI assigned
- Mar 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Brian Welsh
- Title
- President
- Phone
- (802) 372-3330
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110603000483 | VT | Part B Supplier - Ambulance Service Supplier | 5890972616 | Practice locations: Grand Isle, VT |
National Provider Directory
Locations
3 Faywood Rd
Grand Isle, VT 05458
Phone (802) 372-3262
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0305 | VT | Yes |
Addresses
Primary practice location
3 Faywood Road
Grand Isle, VT 05458
Mailing address
P.O. Box 79
Grand Isle, VT 05458
Phone (802) 372-3330
Other providers in Grand Isle, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.