# BRISTOL RESCUE SQUAD, INC.

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

## Provider details

- **NPI number:** 1881747384
- **Authorized official:** MARK RICKNER (MANAGER)
- **Authorized official phone:** (802) 453-2472

## Contact information

- **Practice address:** 45 MONKTON ROAD, BRISTOL, VT 05443
- **Practice address phone:** (802) 453-2513
- **Practice address fax:** (802) 453-2513
- **Mailing address:** PO BOX 227, BRISTOL, VT 05443-0227
- **Mailing address phone:** (802) 453-2472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | — | NULL | — |
| 3416L0300X | Land Ambulance | 0701 | VT | Yes |

## Other

- **Enumeration date:** 01/19/2007
- **Last updated:** 10/01/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006440 | — | VT |
| 01 | — | VT6440 | PRIVATE INSURANCES | VT |