Organization
CITY OF SO BURLINGTON
Active
Other names
So Burlington Fire & Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS S BRENT (CHIEF OF FIRE & EMS)
(802) 863-4110
Entity
Organization
Contact information
Practice address
575 DORSET ST, SOUTH BURLINGTON, VT 05403-6260
(802) 846-4110
(802) 846-4125
Mailing address
575 DORSET ST, SOUTH BURLINGTON, VT 05403-6260
(802) 846-4110
(802) 846-4125
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0338
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02623141
MEDICAID
NY
01
—
0AM0186
MAIL HANDLER'S BENEFIT PL
—
05
—
0AM0186
—
VT
01
—
1720546
MEDICAID
MA
01
—
30823338
MEDICAID
NH
01
—
373021
MVP
—
01
—
68195
BCBS
VT
01
—
P00152414
RAILROAD MEDICARE
—
Enumeration date
08/09/2005
Last updated
05/07/2013
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