POULTNEY RESCUE SQUAD INC; NPI #1619967171

Contact Information

POULTNEY RESCUE SQUAD INC

409 VT ROUTE 30 S
POULTNEY, VT 05764-9015

Phone: 802-287-5575
Fax: 802-287-2207
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 POULTNEY RESCUE SQUAD INC

NPI Number 1619967171

LBN Legal business name POULTNEY RESCUE SQUAD INC

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2005

Last updated 05/05/2008 - About 18 years ago

Identifiers

VT	License #	1009
VT	Medicaid	0006472
	Other	590008698	RAILROAD MEDICARE

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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