Organization
CAMBRIDGE RESCUE SQUAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BERNARD SEVERANCE (CHIEF)
(802) 644-2113
Entity
Organization
Contact information
Practice address
18 WILLIAMSON COURT, JEFFERSONVILLE, VT 05464
(802) 644-2113
Mailing address
PO BOX 431, JEFFERSONVILLE, VT 05464-0431
(802) 644-2113
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0413
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN0774
—
VT
01
—
19659
ID NUMBER
VT
Enumeration date
11/07/2006
Last updated
08/22/2020
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