Provider Demographics
NPI:1093704587
Name:ORLEANS EMERGENCY UNIT INC
Entity Type:Organization
Organization Name:ORLEANS EMERGENCY UNIT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASUERE
Authorized Official - Prefix:
Authorized Official - First Name:DOT
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-525-3382
Mailing Address - Street 1:1327 DRY POND RD
Mailing Address - Street 2:
Mailing Address - City:GLOVER
Mailing Address - State:VT
Mailing Address - Zip Code:05839-9717
Mailing Address - Country:US
Mailing Address - Phone:802-525-3382
Mailing Address - Fax:802-525-3382
Practice Address - Street 1:102 MAIN ST
Practice Address - Street 2:
Practice Address - City:ORLEANS
Practice Address - State:VT
Practice Address - Zip Code:05860-1128
Practice Address - Country:US
Practice Address - Phone:802-754-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT02083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTVT6405Medicaid
VTVT6405Medicaid