Vergennes Area Rescue Squad Inc.
Organization Active NPI Ambulance · Vergennes, VT
NPI 1891778197 · NPPES record last updated Oct 1, 2021
Key facts
- NPI
- 1891778197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 3416L0300X (VT)
- Legal business name
- VERGENNES AREA RESCUE SQUAD INC.
- Practice address
- 106 Panton Rd
Vergennes, VT 05491-1047 - Phone
- (802) 877-3683
- Fax
- (802) 877-3518
- NPI assigned
- Nov 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Stephen Lester Fleming
- Title
- Manager
- Phone
- (802) 475-2454
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100824000905 | VT | Part B Supplier - Ambulance Service Supplier | 0446374714 | Practice locations: Vergennes, VT |
National Provider Directory
Locations
106 Panton Rd
Vergennes, VT 05491
Phone (802) 877-3683
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 3416L0300X | VT | Yes |
Addresses
Primary practice location
106 Panton Rd
Vergennes, VT 05491-1047
Mailing address
106 Panton Rd
PO Box 11
Vergennes, VT 05491-1047
Phone (802) 877-3683
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006439 | Medicaid | VT | |
| 059-19841 | Other | VT | BLUE CROSS |
Other providers in Vergennes, VT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.