# CALEDONIA-ESSEX AREA AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1861474272
- **Authorized official:** MS. PAMELA REXFORD SCOTT CFO (CFO)
- **Authorized official phone:** (802) 748-7544

## Contact information

- **Practice address:** 1453 HOSPITAL DRIVE, ST. JOHNSBURY, VT 05819
- **Practice address phone:** (802) 748-7544
- **Practice address fax:** (802) 748-7545
- **Mailing address:** PO BOX 8648, ESSEX, VT 05451-8648
- **Mailing address phone:** (877) 398-1519
- **Mailing address fax:** (802) 871-5352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0509 | VT | Yes |

## Other

- **Enumeration date:** 11/19/2005
- **Last updated:** 06/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006480 | — | VT |
| 05 | — | 3078832 | — | NH |
| 01 | — | 590002498 | RAILROAD MEDICARE | VT |
| 01 | — | 6480 | BLUE CROSS/BLUE SHIELD | VT |