WATERBURY AMBULANCE SERVICE, INC. (NPI# 1962493312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962493312 |
| Entity Type | Organization |
| Organization Name | WATERBURY AMBULANCE SERVICE, INC. |
| Practice Address |
1727 Guptil Rd Waterbury Center VT 05677-7094 |
| Mailing Address |
Po Box 95 Waterbury Center VT 05677-0095 |
| Practice Telephone | 8022445003 |
| Practice Fax Number | 8022444929 |
| Mailing Telephone | 8022445003 |
| Mailing Fax Number | 8008026803 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | JOHN H KUEFFNER (VICE PRESIDENT) |
| Authorized Official Telephone | 8022445003 |
| Authorized Official Credential | EMT-I |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0608 | VT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006444 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WATERBURY AMBULANCE SERVICE, INC. | 1727 Guptil Rd, Waterbury Center, VT 05677 |
| Vermont Business Registrations | WATERBURY AMBULANCE SERVICE, INC. | 1727 Guptil Rd, Waterbury Ctr., VT 05677 |
| Street Address |
1727 GUPTIL RD |
| City | WATERBURY CENTER |
| State | VT |
| Zip Code | 05677-7094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558645614 | Maya Carlet | Acupuncturist | 76 Mcneil Rd, Waterbury Center, VT 05677 | 2011-10-06 |
| 1760588081 | Philip L Sweet | Physical Therapist | 1878 Mountain Road, Suite #1, Stowe, VT 05677 | 2006-09-15 |
| 1639180672 | Mary Benyo Chudzik | Physical Therapist | 1878 Mountain Road, Suite 1, Stowe, VT 05677 | 2006-08-11 |
| 1710295969 | Katherine E Myerson | Dietitian, Registered | 219 Evergreen Woods Rd, Waterbury Center, VT 05677-4436 | 2010-09-22 |
| 1225083769 | John Thomas Braun | Orthopaedic Surgery | 76 Mcneil Rd Ste 2, Waterbury Center, VT 05677-7026 | 2006-05-23 |
| 1447538145 | Sarah L Britton | Nurse Practitioner | 76 Mcneil Rd Ste 2, Waterbury Center, VT 05677-7026 | 2011-07-28 |
| 1366975328 | Elizabeth G Dunbar | Physician Assistant | 228 E Harvey Farm Rd, Waterbury Center, VT 05677-7117 | 2017-04-06 |
| 1770857054 | Michael Anthony Zacharias | Psychologist | 409 Harvey Farm Rd, Waterbury Center, VT 05677-7122 | 2012-03-03 |
| 1932693355 | Elsa M Ingpen | Nurse Practitioner | 76 Mcneil Rd, Waterbury Center, VT 05677-7161 | 2018-06-19 |
| 1417980228 | Jay Mireault | Psychologist | 852 Maggies Way, Waterbury Center, VT 05677-8034 | 2006-07-08 |
| Find all providers in zip 05677 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487152096 | Garnet Transport Medicine, LLC | Ambulance | 70 S Winooski Ave Ste 255, Burlington, VT 05401 | 2018-01-29 |
| 1881919363 | Royalton Fire District 1 | Ambulance | 53 Safford Street, South Royalton, VT 05068 | 2010-03-29 |
| 1295976421 | East Montpelier Volunteer Fire Department | Ambulance | 365 Templeton Road, East Montpelier, VT 05651 | 2009-03-18 |
| 1104037829 | Town of Barre Ems | Ambulance | 149 Websterville Road, Websterville, VT 05678-0116 | 2007-05-24 |
| 1457488660 | City of Barre | Ambulance | 15 4th St, Suite 1, Barre, VT 05641-4476 | 2007-02-27 |
| 1720129422 | Franklin Fire & Rescue | Ambulance | 5154 Main, Franklin, VT 05457 | 2007-02-08 |
| 1548338866 | First Branch Ambulance Service Inc. | Ambulance | 324 Vt Rt 110, Chelsea, VT 05038 | 2006-12-04 |
| 1417023532 | Arlington Rescue Squad Inc. | Ambulance | 66 Chittenden Dr., Arlington, VT 05250 | 2006-11-28 |
| 1275607244 | Lefevre Ambulance Service, Inc. | Ambulance | 104 Atkinson St, Bellows Falls, VT 05101-1338 | 2006-11-20 |
| 1356410286 | Cambridge Rescue Squad Inc. | Ambulance | 18 Williamson Court, Jeffersonville, VT 05464 | 2006-11-07 |
| Find all providers with the same taxonomy | ||||
| City | WATERBURY CENTER |
| Zip Code | 05677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.