Organization
SOUTHWESTERN VERMONT REGIONAL AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA FRECHETTE (OWNER)
(802) 447-0413
Entity
Organization
Contact information
Practice address
405 MORSE RD, BENNINGTON, VT 05201-1662
(802) 447-0413
(802) 447-0417
Mailing address
PO BOX 911, BENNINGTON, VT 05201-0911
(802) 447-0413
(802) 447-0417
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1213
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025293
CAPITAL DISTRICT PHYS HEA
VT
05
—
1005052
—
VT
01
—
28118
BCBS PROVIDER NUMBER
VT
01
—
70808
MOHAWK VALLEY PROVIDER #
VT
Enumeration date
08/31/2006
Last updated
08/22/2020
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