Organization
MIDDLEBURY VOLUNTEER AMBULANCE ASSOCIATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN PARIZO (PRESIDENT)
(802) 388-3286
Entity
Organization
Contact information
Practice address
55 COLLINS DR, MIDDLEBURY, VT 05753-8503
(802) 388-3286
Mailing address
PO BOX 153, CO NEAB, VERGENNES, VT 05491-0153
(802) 877-2429
(802) 877-2292
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0703
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05948931
BLUE CROSS BLUE SHIELD
VT
05
—
0AM0074
—
VT
Enumeration date
09/01/2006
Last updated
11/17/2023
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