Provider Demographics
NPI:1275607244
Name:LEFEVRE AMBULANCE SERVICE, INC.
Entity Type:Organization
Organization Name:LEFEVRE AMBULANCE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ELLA
Authorized Official - Last Name:HOYT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-463-3636
Mailing Address - Street 1:104 ATKINSON ST
Mailing Address - Street 2:
Mailing Address - City:BELLOWS FALLS
Mailing Address - State:VT
Mailing Address - Zip Code:05101-1338
Mailing Address - Country:US
Mailing Address - Phone:802-463-3636
Mailing Address - Fax:802-463-0023
Practice Address - Street 1:104 ATKINSON ST
Practice Address - Street 2:
Practice Address - City:BELLOWS FALLS
Practice Address - State:VT
Practice Address - Zip Code:05101-1338
Practice Address - Country:US
Practice Address - Phone:802-463-3636
Practice Address - Fax:802-463-0023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-20
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT11063416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006473Medicaid
NH40003859Medicaid
VTVT6473OtherBLUE CROSS BLUE SHIELD
NH40003859Medicaid