Organization
BRISTOL RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICKNER (MANAGER)
(802) 453-2472
Entity
Organization
Contact information
Practice address
45 MONKTON ROAD, BRISTOL, VT 05443
(802) 453-2513
(802) 453-2513
Mailing address
PO BOX 227, BRISTOL, VT 05443-0227
(802) 453-2472
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
0701
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006440
—
VT
01
—
VT6440
PRIVATE INSURANCES
VT
Enumeration date
01/19/2007
Last updated
10/01/2021
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