# SOUTHWESTERN VERMONT REGIONAL AMBULANCE, INC.

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

## Provider details

- **NPI number:** 1932219961
- **Authorized official:** MRS. ANITA FRECHETTE (OWNER)
- **Authorized official phone:** (802) 447-0413

## Contact information

- **Practice address:** 405 MORSE RD, BENNINGTON, VT 05201-1662
- **Practice address phone:** (802) 447-0413
- **Practice address fax:** (802) 447-0417
- **Mailing address:** PO BOX 911, BENNINGTON, VT 05201-0911
- **Mailing address phone:** (802) 447-0413
- **Mailing address fax:** (802) 447-0417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 1213 | VT | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10025293 | CAPITAL DISTRICT PHYS HEA | VT |
| 05 | — | 1005052 | — | VT |
| 01 | — | 28118 | BCBS PROVIDER NUMBER | VT |
| 01 | — | 70808 | MOHAWK VALLEY PROVIDER \# | VT |