Organization
MAD RIVER VALLEY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN M KINSELLA (CLAIMS ADMINISTRATOR)
(802) 496-8888
Entity
Organization
Contact information
Practice address
4177 MAIN ST, WAITSFIELD, VT 05673-6095
(802) 496-8888
(802) 329-2142
Mailing address
PO BOX 305, WAITSFIELD, VT 05673-0305
(802) 496-8888
(802) 329-2142
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
VT6442
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006442
—
VT
01
—
801298
TUFTS
—
01
—
VT6442
BLUE CROSS BLUE SHIELD
—
Enumeration date
11/13/2006
Last updated
07/06/2009
About Stedi
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