Charlotte Volunteer Fire and Rescue Services Incorporated

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0302 Issued in VT

Legal business name

CHARLOTTE VOLUNTEER FIRE AND RESCUE SERVICES INCORPORATED

Practice address

170 Ferry Rd
Charlotte, VT 05445

Phone

(802) 425-3111

Fax

(802) 425-3115

NPI assigned

Jun 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Patrice Machavern

Title

Business Operations Manager

Phone

(802) 425-3111

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1104853258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "054450085",
            "telephone_number": "802-425-3111",
            "fax_number": "802-425-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FERRY RD",
            "city": "CHARLOTTE",
            "state": "VT",
            "postal_code": "05445",
            "telephone_number": "802-425-3111",
            "fax_number": "802-425-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLOTTE VOLUNTEER FIRE AND RESCUE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "MACHAVERN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "802-425-3111"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "CHAR6413",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0094",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Audra Socinski, Psychotherapy
• Richard H. Bernstein, M.D.
• Carter Branley, LCMHC
• Carter Branley Counseling & Wellness, LLC
• Charlotte Family Health Center Inc
• Marjorie E. Douglas, FNP
• Marie Judith Lucie Eruimy-Kiley, C.P.M.,L.M.
• Darcy Nora Faibish, NP
• David Garbose, SLP, ATP
• Good Seed Nutrition LLC

• Land Ambulance in Charlotte, VT
• Providers in Charlotte, VT by specialty
• Land Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.