Organization
MANCHESTER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL L. CASEY CCEMTP (COO)
(802) 362-1995
Entity
Organization
Contact information
Practice address
6041 MAIN ST, MANCHESTER CENTER, VT 05255-0026
(802) 362-1995
(802) 362-8175
Mailing address
PO BOX 153, C O NEAB, VERGENNES, VT 05491-0153
(802) 877-2429
(802) 877-2292
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1203
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00006364
BLUE CROSS BLUE SHIELD
VT
05
—
0006364
—
VT
Enumeration date
10/06/2006
Last updated
10/01/2021
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