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Organization

TOWN OF COLCHESTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOAN BOEHM (TOWN ADMINISTARTOR)
(802) 654-0770
Entity
Organization

Contact information

Practice address
835 BLAKELY RD, COLCHESTER, VT 05446-4417
(802) 654-0770
Mailing address
8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
(800) 488-4351

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0303
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00038242
BLUE CROSS BLUE SHIELD
VT
01
0369000434
TRIAD
NY
05
0AM0064
VT
Enumeration date
07/10/2006
Last updated
08/22/2020
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