Organization
GLOVER AMBULANCE SQUAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PARADIS (CEO)
(802) 334-2023
Entity
Organization
Contact information
Practice address
48 COUNTY RD, WEST GLOVER, VT 05875-9709
(802) 334-2023
Mailing address
PO BOX 911, NEWPORT, VT 05855-0911
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0205
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006420
—
VT
01
—
GLOV6420
BLUE CROSS
VT
Enumeration date
06/14/2006
Last updated
03/09/2011
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