FAIRFAX EMS INC (NPI# 1588691778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588691778 |
| Entity Type | Organization |
| Organization Name | FAIRFAX EMS INC |
| Other Organization Name | FAIRFAX RESCUE SQUAD |
| Practice Address |
14 Goodall Street Fairfax VT 05454-0428 |
| Mailing Address |
Po Box 428 Fairfax VT 05454-0428 |
| Practice Telephone | 8023342023 |
| Mailing Telephone | 8028492773 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | MR. DANIEL VANSLETTE (PRESIDENT) |
| Authorized Official Telephone | 8028492773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0104 | VT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | MAIN PROVIDER NUMBER | 0006474 | 01 |
| VT | 0006474 | 05 |
| Other Name | Type Code |
|---|---|
| Fairfax Rescue Squad | Doing Business As Name - Organization |
| Street Address |
14 GOODALL STREET |
| City | FAIRFAX |
| State | VT |
| Zip Code | 05454-0428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255380432 | Carol Thayer | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454 | 2006-05-08 |
| 1578891040 | Chelsea C Clark | Registered Nurse | 15 East Rd Unit 102, Fairfax, VT 05454-4450 | 2009-11-22 |
| 1386279115 | Kristen Nicole Scullin | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2020-03-12 |
| 1801451414 | Casey D'alberto | Physical Therapist | 1282 Main St, Fairfax, VT 05454-4456 | 2019-05-08 |
| 1558692681 | Jacquelyn Lewis | Specialist | 1193 Ethan Allen Hwy, Fairfax, VT 05454-5433 | 2010-01-29 |
| 1912463712 | Sherry Lynne Cushing | Massage Therapist | 1091 Ethan Allen Hwy, Fairfax, VT 05454-5435 | 2019-02-16 |
| 1235188418 | Miriam S Sturgis | Family Medicine | 4178 Highbridge Rd, Georgia, VT 05454-5446 | 2006-05-08 |
| 1033476965 | Sarah Desilvey | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2012-04-17 |
| 1417287665 | Northwestern Medical Center, Inc. | Clinic/Center | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2010-01-12 |
| 1801061973 | Anne T Standish | Nurse Practitioner | 4178 Highbridge Rd, Fairfax, VT 05454-5446 | 2008-04-29 |
| Find all providers in zip 05454 | ||||
| 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 | ||||
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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.