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Contact Information

FAIR HAVEN VOLUNTEER RESCUE SQUAD, INC
17 PROSPECT ST
FAIR HAVEN, VT05743-1220
 Phone: 802-265-3620
 Fax: 802-265-8804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for FAIR HAVEN VOLUNTEER RESCUE SQUAD, INC

NPI # 1508820994
LBN Legal business name FAIR HAVEN VOLUNTEER RESCUE SQUAD, INC
Authorized official SEAN GALVIN - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/13/2006
Last updated 10/01/2021 - About 5 years ago
Identifiers
VT License # 1004
NY Medicaid 01655861
VT Medicaid 590006228
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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