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TOWN OF SHELBURNE NPI 1053394973


NPI Information

NPI: 1053394973
Provider Name: TOWN OF SHELBURNE

Doing Business As: SHELBURNE RESCUE SQUAD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 47D1032625

Address:
154 TURTLE LANE
SHELBURNE, VT
ZIP 05482
Phone: (802) 985-5125
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TOWN OF SHELBURNE is a land transport ambulance in Shelburne, VT. TOWN OF SHELBURNE NPI is 1053394973. The provider is registered as an organization entity type.
The provider Is Doing Business As Shelburne Rescue Squad.

The provider's business location address is:

154 TURTLE LANE
SHELBURNE, VT
ZIP 05482
Phone: (802) 985-5125
Fax: (802) 985-5128

The provider's authorized official is Wendi Turner .
The authorized official title is Treasurer and has the following contact phone number (802) 985-5125.

The CLIA number assigned to this NPI record is 47D1032625 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/23/2005 and was last updated on 4/26/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport0323VERMONTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1AM0136MEDICARE ID-TYPE UNSPECIFIEDVERMONT
2OAM0136MEDICAIDVERMONT
32534OTHERVERMONTBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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