CITY OF SO BURLINGTON; NPI #1043211618

Contact Information

CITY OF SO BURLINGTON

575 DORSET ST
SOUTH BURLINGTON, VT 05403-6260

Phone: 802-846-4110
Fax: 802-846-4125
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for CITY OF SO BURLINGTON

NPI # 1043211618

LBN Legal business name CITY OF SO BURLINGTON

Authorized official DOUGLAS BRENT - (CHIEF OF FIRE & EMS)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/09/2005

Last updated 05/07/2013 - About 13 years ago

Identifiers

VT	License #	0338
VT	Medicaid	0AM0186
	Other	0AM0186	MAIL HANDLER'S BENEFIT PL
	Other	373021	MVP
	Other	P00152414	RAILROAD MEDICARE
MA	Other	1720546	MEDICAID
NH	Other	30823338	MEDICAID
NY	Other	02623141	MEDICAID
VT	Other	68195	BCBS

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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