| NPI | 1679552723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA DECKER Billing Agent 802-656-8509 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3416L0300X Ambulance Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: VT 0314) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2011-01-28 |