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Organization

SOUTHERN BERKSHIRE VOLUNTEER AMBULANCE SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN WALL (CHIEF OF OPERATIONS)
(413) 528-3632
Entity
Organization

Contact information

Practice address
31 LEWIS AVE, GREAT BARRINGTON, MA 01230-1713
(413) 528-3632
Mailing address
31 LEWIS AVE, GREAT BARRINGTON, MA 01230-1713
(413) 528-3632
(413) 528-5549

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
3365
MA
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000022136
BMC HEALTHNET PLAN
01
0017302
NEIGHBORHOOD HEALTH
05
00970558
NY
01
030659
BLUE CROSS BLUE SHIELD
MA
05
1705873
MA
01
441590232
RR MEDICARE
01
610068600
DEPARTMENT OF LABOR
01
700865
HARVARD PILGRIM
01
744846
CONNECTICARE
01
805052
TUFTS HEALTH
01
937093
MVP HEALTH CARE
Enumeration date
01/18/2006
Last updated
12/07/2023
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