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Organization

VILLAGE AMBULANCE SERVICE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL S WITKOWSKI EMT-P (EXECUTIVE DIRECTOR)
(413) 458-4889
Entity
Organization

Contact information

Practice address
30 WATER ST., WILLIAMSTOWN, MA 01267
(413) 458-4889
(413) 458-8476
Mailing address
107 WASHINGTON AVE, VILLAGE AMBULANCE C/O FASNY CREDIT UNION, ALBANY, NY 12210-2200
(413) 458-4889
(413) 458-8476

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3894
MA
3416L0300X
Land Ambulance
1205
VT
3416L0300X
Land Ambulance
Primary
3894
MA
343900000X
Non-emergency Medical Transport (VAN)
1205
VT
343900000X
Non-emergency Medical Transport (VAN)
1234
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000024911
BMC HEALTHNET PLAN
05
00774456
NY
01
040459
BLUE CROSS BLUE SHIELD
MA
05
1000568
VT
05
110030922A
MA
05
1709593
MA
01
610774700
DEPARTMENT OF LABOR
01
701581
HARVARD PILGRIM
01
756911
CONNECTICARE
01
803149
TUFTS HEALTH PLAN
01
A1071632
OXFORD
01
MA0783
HEALTH NET
Enumeration date
02/17/2006
Last updated
08/31/2016
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