# CHARLOTTE VOLUNTEER FIRE AND RESCUE SERVICES INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104853258
- **Authorized official:** PATRICE MACHAVERN (BUSINESS OPERATIONS MANAGER)
- **Authorized official phone:** (802) 425-3111

## Contact information

- **Practice address:** 170 FERRY RD, CHARLOTTE, VT 05445
- **Practice address phone:** (802) 425-3111
- **Practice address fax:** (802) 425-3115
- **Mailing address:** PO BOX 85, CHARLOTTE, VT 05445-0085
- **Mailing address phone:** (802) 425-3111
- **Mailing address fax:** (802) 425-3115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0302 | VT | Yes |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 06/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0AM0094 | — | VT |
| 01 | — | CHAR6413 | BLUE CROSS | VT |