DERBY LINE AMBULANCE NPI 1265477012

NPI Information

NPI: 1265477012
Provider Name: DERBY LINE AMBULANCE
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
67 BEECH ST
DERBY LINE, VT
ZIP 05830
Phone: (802) 334-2023
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DERBY LINE AMBULANCE is a land transport ambulance in Derby Line, VT. DERBY LINE AMBULANCE NPI is 1265477012. The provider is registered as an organization entity type.

The provider's business location address is:

67 BEECH ST
DERBY LINE, VT
ZIP 05830-302
Phone: (802) 334-2023

The provider's authorized official is Michael Paradis .
The authorized official title is Ceo and has the following contact phone number (802) 334-2023.

The enumeration date for this NPI number is 6/17/2006 and was last updated on 8/29/2017.

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
1	3416L0300X	Ambulance	Land Transport	0204	VERMONT	Yes

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
1	0006385	OTHER	VERMONT	MAIN PROVIDER
2	VN1555	MEDICARE ID-TYPE UNSPECIFIED	VERMONT	PROVIDER NUMBER
3	DERB6385	MEDICAID	VERMONT

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

NPI Synchronization or Removal

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