Whitingham Ambulance Service Inc

Organization Active NPI Ambulance · Jacksonville, VT

NPI 1407820665 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1407820665
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
1209 (VT)
Legal business name
WHITINGHAM AMBULANCE SERVICE INC
Practice address
2964 RT 100
Jacksonville, VT 05342
Phone
(802) 368-2900
Fax
(802) 368-7560
NPI assigned
Feb 15, 2006
Organization subpart
No

Authorized official

Name
Lori S Williams, EMT
Title
Business Administrator
Phone
(802) 368-2900

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1209 VT Yes

Addresses

Primary practice location

2964 RT 100
Jacksonville, VT 05342

Mailing address

PO Box 963
Jacksonville, VT 05342-0963
Phone (802) 368-2900

Other identifiers

IdentifierTypeStateIssuer
0AM0073MedicaidVT

Other providers in Jacksonville, VT

All providers in Jacksonville, VT · Ambulance in Vermont

Sources for this page

Verify at the official NPI Registry.