Poultney Rescue Squad INC

NPI #1619967171 in Poultney, Vermont

Provider Information

NPI Number: 1619967171
Entity Type: Organization
Organization Name: Poultney Rescue Squad INC
Primary Specialty: Ambulance
Enumeration Date: Oct 26, 2005
Last Updated: May 5, 2008

Practice Location

Address: 409 VT ROUTE 30 S
City: Poultney
State: Vermont
ZIP Code: 05764-9015
Phone: (802) 287-5575

Authorized Official

Name: MS. MARY T GENTILE
Title: AUTHORIZED AGENT
Phone: (860) 257-9201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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