Organization Active NPI

Middlebury Volunteer Ambulance Association, Inc

  • Ambulance
  • Middlebury, VT
National Provider Identifier
1861594707
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0703 Issued in VT
Legal business name
MIDDLEBURY VOLUNTEER AMBULANCE ASSOCIATION, INC
Practice address
55 Collins Dr
Middlebury, VT 05753-8503
Phone
(802) 388-3286
NPI assigned
Sep 1, 2006
Last updated
Nov 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Authorized official

Name
Mr. Kevin Parizo
Title
President
Phone
(802) 388-3286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0703 VT Primary

Addresses

Primary practice location

55 Collins Dr
Middlebury, VT 05753-8503

Mailing address

PO Box 153
Co Neab
Vergennes, VT 05491-0153
Phone (802) 877-2429

Other identifiers 2

IdentifierTypeStateIssuer
05948931OtherVTBLUE CROSS BLUE SHIELD
0AM0074MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110225000006 VT Part B Supplier - Ambulance Service Supplier 6103007083 Practice locations: Middlebury, VT

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
47D2002282Middlebury Volunteer Ambulance Association55 Collins Dr, Middlebury, VT 05753Certificate of waiverJan 11, 2028

National Provider Directory

National Provider Directory

Locations

55 Collins Dr
Middlebury, VT 05753
Phone (802) 388-3286

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700179200000",
    "number": "1861594707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "address_2": "CO NEAB",
            "city": "VERGENNES",
            "state": "VT",
            "postal_code": "054910153",
            "telephone_number": "802-877-2429",
            "fax_number": "802-877-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 COLLINS DR",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057538503",
            "telephone_number": "802-388-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLEBURY VOLUNTEER AMBULANCE ASSOCIATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A",
        "authorized_official_last_name": "PARIZO",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-388-3286",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VT",
            "license": "0703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05948931",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0AM0074",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.