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Organization
POWNAL RESCUE SQUAD INCORPORATED
Active
Organization
POWNAL RESCUE SQUAD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEO J HAGGERTY (CHIEF)
(802) 823-5200
Entity
Organization
Contact information
Practice address
54 LADD ROAD, POWNAL, VT 05261
(802) 823-5200
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(800) 473-2278
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1207
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006499
—
VT
01
—
590009360
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
08/30/2024
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