Organization Name: | UPPER VALLEY AMBULANCE, INC |
NPI Number: | 1497864904 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN W. VOSE (ADMINISTRATOR) |
Mailing Address: | 5445 Lake Morey Road Fairlee |
State: | VT US |
Postal Code: | 050450037 |
Phone Number: | 8023334043 |
Fax Number: | 8023334234 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0919 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |