Glover Ambulance Squad Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0205 Issued in VT

Legal business name

GLOVER AMBULANCE SQUAD INC.

Practice address

48 County Rd
West Glover, VT 05875-9709

Phone

(802) 334-2023

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Michael Paradis

Title

Ceo

Phone

(802) 334-2023

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1568405736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911",
            "city": "NEWPORT",
            "state": "VT",
            "postal_code": "058550911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 COUNTY RD",
            "city": "WEST GLOVER",
            "state": "VT",
            "postal_code": "058759709",
            "telephone_number": "802-334-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVER AMBULANCE SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "PARADIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "802-334-2023"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VT",
            "license": "0205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006420",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "GLOV6420",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Messier, RRT
• Jennifer Olsen, APRN FNP-C

• Land Ambulance in West Glover, VT
• Providers in West Glover, VT by specialty
• Land Ambulance in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.