Provider Demographics
NPI:1285677369
Name:TOWN OF MORRISTOWN
Entity Type:Organization
Organization Name:TOWN OF MORRISTOWN
Other - Org Name:MORRISTOWN RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWN ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:LINDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-888-5147
Mailing Address - Street 1:PO BOX 748
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-0748
Mailing Address - Country:US
Mailing Address - Phone:802-888-6374
Mailing Address - Fax:802-888-6378
Practice Address - Street 1:539 WASHINGTON HIGHWAY
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-0424
Practice Address - Country:US
Practice Address - Phone:802-888-5628
Practice Address - Fax:802-888-6380
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0404341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0AM0160Medicaid
VT59050OtherBCBS
VT59050OtherBCBS