POULTNEY RESCUE SQUAD INC (NPI# 1619967171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619967171 |
| Entity Type | Organization |
| Organization Name | POULTNEY RESCUE SQUAD INC |
| Practice Address |
409 Vt Route 30 S Poultney VT 05764-9015 |
| Mailing Address |
Po Box 290184 Wethersfield CT 06129-0184 |
| Practice Telephone | 8022875575 |
| Practice Fax Number | 8022872207 |
| Mailing Telephone | 8602579201 |
| Mailing Fax Number | 8607216362 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2008-05-05 |
| Authorized Official Name | MS. MARY T GENTILE (AUTHORIZED AGENT) |
| Authorized Official Telephone | 8602579201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 1009 | VT | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0006472 | 05 | |
| RAILROAD MEDICARE | 590008698 | 01 |
| Street Address |
409 VT ROUTE 30 S |
| City | POULTNEY |
| State | VT |
| Zip Code | 05764-9015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851580799 | Elizabeth Jean Romeka-pluta | Social Worker | 212 Main Street, Poultney, VT 05764 | 2007-10-16 |
| 1093811457 | Frederick Michel | Dentist | 39 Church St, Ste 1, Poultney, VT 05764 | 2006-09-15 |
| 1174946719 | Kimberly Stedman | Speech-Language Pathologist | 168 York St, Poultney, VT 05764-1024 | 2014-02-03 |
| 1477067171 | Equinox Dental Plc | Dentist | 39 Church St, Poultney, VT 05764-1038 | 2017-11-17 |
| 1376615534 | Michael E. Scovner | Internal Medicine | 236 Main St, Poultney, VT 05764-1106 | 2006-11-14 |
| 1396145629 | Kathleen Mcshane | Occupational Therapy Assistant | 291 Bentley Ave, Poultney, VT 05764-1177 | 2014-08-22 |
| 1306155825 | Tyler Arnett | Physical Therapist | 105 Main St, Poultney, VT 05764-1200 | 2010-10-01 |
| 1164800884 | Idlewild Associates, LLC | Counselor | 153 Main St, Poultney, VT 05764-4413 | 2015-05-14 |
| 1447326558 | Jds Chemists Inc | Pharmacy | 188 Main St, Poultney, VT 05764-4414 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396145629 | Kathleen Mcshane | Occupational Therapy Assistant | 291 Bentley Ave, Poultney, VT 05764-1177 | 2014-08-22 |
| 1174946719 | Kimberly Stedman | Speech-Language Pathologist | 168 York St, Poultney, VT 05764-1024 | 2014-02-03 |
| 1477067171 | Equinox Dental Plc | Dentist | 39 Church St, Poultney, VT 05764-1038 | 2017-11-17 |
| 1164800884 | Idlewild Associates, LLC | Counselor | 153 Main St, Poultney, VT 05764-4413 | 2015-05-14 |
| 1306155825 | Tyler Arnett | Physical Therapist | 105 Main St, Poultney, VT 05764-1200 | 2010-10-01 |
| 1851580799 | Elizabeth Jean Romeka-pluta | Social Worker | 212 Main Street, Poultney, VT 05764 | 2007-10-16 |
| 1447326558 | Jds Chemists Inc | Pharmacy | 188 Main St, Poultney, VT 05764-4414 | 2006-11-28 |
| 1376615534 | Michael E. Scovner | Internal Medicine | 236 Main St, Poultney, VT 05764-1106 | 2006-11-14 |
| 1093811457 | Frederick Michel | Dentist | 39 Church St, Ste 1, Poultney, VT 05764 | 2006-09-15 |
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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|---|---|---|---|---|
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| 1760793541 | Town of Williston | Ambulance | 645 Talcott Rd, Williston, VT 05495-2079 | 2010-06-28 |
| 1093956286 | Grand Isle Rescue Inc | Ambulance | 3 Faywood Road, Grand Isle, VT 05458 | 2009-03-17 |
| 1477762938 | Wallingford Rescue, Inc. | Ambulance | 30 Railroad Street, Wallingford, VT 05773-0246 | 2007-05-22 |
| 1093928814 | Valley Rescue Inc | Ambulance | 227 Vermont Route 100, Hancock, VT 05748-9763 | 2007-05-08 |
| 1841318748 | Cabot Emergency Ambulance Service Inc. | Ambulance | 820 Danville Hill Rd, Cabot, VT 05647-9621 | 2007-03-27 |
| 1881747384 | Bristol Rescue Squad, Inc. | Ambulance | 45 Monkton Road, Bristol, VT 05443 | 2007-01-19 |
| 1255498986 | Mount Holly Volunteer Rescue Squad Inc. | Ambulance | 26 School Street, Mount Holly, VT 05758 | 2007-01-02 |
| 1114080538 | Stratton Mt Rescue A Subpart of Carlos Otis Stratton Mt Clinic Inc | Ambulance | 78 Founders Hill Road, Stratton Mt, VT 05155 | 2006-12-18 |
| 1922160274 | Town of Hartford | Ambulance | 812 Va Cutoff Rd, White River Junction, VT 05001-9777 | 2006-12-14 |
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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.