Provider Demographics
NPI:1346221454
Name:TOWN OF WINDSOR
Entity Type:Organization
Organization Name:TOWN OF WINDSOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MALISA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-674-9539
Mailing Address - Street 1:29 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:VT
Mailing Address - Zip Code:05089
Mailing Address - Country:US
Mailing Address - Phone:802-674-9539
Mailing Address - Fax:802-674-9037
Practice Address - Street 1:29 UNION ST
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:VT
Practice Address - Zip Code:05089-1503
Practice Address - Country:US
Practice Address - Phone:802-674-9043
Practice Address - Fax:802-674-9037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT09083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006438Medicaid
VTVT6438Medicare PIN