South Hero Rescue Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0313 Issued in VT

Legal business name

SOUTH HERO RESCUE INC

Practice address

329 Route 2
South Hero, VT 05486-9998

Phone

(802) 343-0431

NPI assigned

Dec 14, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Mary T Gentile

Title

Authorized Official

Phone

(860) 257-7080

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1285178947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "860-257-7080",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 ROUTE 2",
            "city": "SOUTH HERO",
            "state": "VT",
            "postal_code": "054869998",
            "telephone_number": "802-343-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HERO RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "860-257-7080",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "0313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031059",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy L Raymond, LPN
• Remedies Pharmacy LLC
• Linda Ann Rundstrom, LPN
• Cynthia M Senical, R.N.
• South Hero Pharmacy LLC
• Heather Staudt, LPN
• Holly Michaela Thomas
• Sandra A Thompson Jenkins, LPN
• Wayne F Tyrrell, SC.D.
• Nicholas Weckstein

• Ambulance in South Hero, VT
• Providers in South Hero, VT by specialty
• Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.