Organization
WATERBURY AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H KUEFFNER EMT-I (VICE PRESIDENT)
(802) 244-5003
Entity
Organization
Contact information
Practice address
1727 GUPTIL RD, WATERBURY CENTER, VT 05677-7094
(802) 244-5003
(802) 244-4929
Mailing address
PO BOX 95, WATERBURY CENTER, VT 05677-0095
(802) 244-5003
(800) 802-6803
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0608
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006444
—
VT
Enumeration date
11/03/2005
Last updated
11/15/2010
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