Colrain Vol Amb Assoc, INC

NPI #1205823085 in Colrain, Massachusetts

Provider Information

NPI Number: 1205823085
Entity Type: Organization
Organization Name: Colrain Vol Amb Assoc, INC
Primary Specialty: Ambulance
Enumeration Date: Oct 5, 2005
Last Updated: Feb 28, 2013

Practice Location

Address: 51 MAIN RD
City: Colrain
State: Massachusetts
ZIP Code: 01340-5501
Phone: (413) 624-5528

Authorized Official

Name: GARY PONCE
Title: CEO/DIRECTOR
Phone: (413) 624-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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