# CAMBRIDGE RESCUE SQUAD INC.

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

## Provider details

- **NPI number:** 1356410286
- **Authorized official:** MR. DAVID BERNARD SEVERANCE (CHIEF)
- **Authorized official phone:** (802) 644-2113

## Contact information

- **Practice address:** 18 WILLIAMSON COURT, JEFFERSONVILLE, VT 05464
- **Practice address phone:** (802) 644-2113
- **Mailing address:** PO BOX 431, JEFFERSONVILLE, VT 05464-0431
- **Mailing address phone:** (802) 644-2113

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0413 | VT | Yes |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0VN0774 | — | VT |
| 01 | — | 19659 | ID NUMBER | VT |