Organization
FAIRFAX EMS INC
Active
Other names
Fairfax Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL VANSLETTE (PRESIDENT)
(802) 849-2773
Entity
Organization
Contact information
Practice address
14 GOODALL STREET, FAIRFAX, VT 05454-0428
(802) 334-2023
Mailing address
PO BOX 428, FAIRFAX, VT 05454-0428
(802) 849-2773
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0104
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0006474
MAIN PROVIDER NUMBER
VT
05
—
0006474
—
VT
Enumeration date
06/26/2006
Last updated
02/02/2017
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