Provider Demographics
NPI:1972538775
Name:TOWN OF BARRE
Entity type:Organization
Organization Name:TOWN OF BARRE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF EMS
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DANFORTH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-477-1398
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:WEBSTERVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05678
Mailing Address - Country:US
Mailing Address - Phone:802-479-9331
Mailing Address - Fax:802-479-9332
Practice Address - Street 1:4 MCLAUGHLIN ROAD
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641
Practice Address - Country:US
Practice Address - Phone:802-479-9331
Practice Address - Fax:802-479-9332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT06013416L0300X
VT#06013416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVT9895Medicaid
VTVT9895Medicare UPIN