# WATERBURY AMBULANCE SERVICE, INC.

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

## Provider details

- **NPI number:** 1962493312
- **Authorized official:** JOHN H KUEFFNER EMT-I (VICE PRESIDENT)
- **Authorized official phone:** (802) 244-5003

## Contact information

- **Practice address:** 1727 GUPTIL RD, WATERBURY CENTER, VT 05677-7094
- **Practice address phone:** (802) 244-5003
- **Practice address fax:** (802) 244-4929
- **Mailing address:** PO BOX 95, WATERBURY CENTER, VT 05677-0095
- **Mailing address phone:** (802) 244-5003
- **Mailing address fax:** (800) 802-6803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 0608 | VT | Yes |

## Other

- **Enumeration date:** 11/03/2005
- **Last updated:** 11/15/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0006444 | — | VT |