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Contact Information

MAD RIVER VALLEY AMBULANCE SERVICE, INC.
4177 MAIN ST
WAITSFIELD, VT05673-6095
 Phone: 802-496-8888
 Fax: 802-329-2142
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for MAD RIVER VALLEY AMBULANCE SERVICE, INC.

NPI Number 1023189925
LBN Legal business name MAD RIVER VALLEY AMBULANCE SERVICE, INC.
Authorized official ROBIN KINSELLA - (CLAIMS ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 07/06/2009 - About 17 years ago
Identifiers
VT License # VT6442
VT Medicaid 0006442
Other VT6442 BLUE CROSS BLUE SHIELD
Other 801298 TUFTS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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