Provider Demographics
NPI:1457488660
Name:CITY OF BARRE
Entity Type:Organization
Organization Name:CITY OF BARRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOMBARDIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-476-0255
Mailing Address - Street 1:PO BOX 418
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-0418
Mailing Address - Country:US
Mailing Address - Phone:802-476-0255
Mailing Address - Fax:802-476-0270
Practice Address - Street 1:15 4TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-4476
Practice Address - Country:US
Practice Address - Phone:802-476-0254
Practice Address - Fax:802-476-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT06163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0009455Medicaid
VTVT9455Medicare ID - Type Unspecified