Provider Demographics
NPI:1740239565
Name:TOWN OF NORTHFIELD
Entity Type:Organization
Organization Name:TOWN OF NORTHFIELD
Other - Org Name:NORTHFIELD AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MUNICIPAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NANCI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ALLARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-485-6121
Mailing Address - Street 1:51 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:VT
Mailing Address - Zip Code:05663-6703
Mailing Address - Country:US
Mailing Address - Phone:802-485-6121
Mailing Address - Fax:802-485-8426
Practice Address - Street 1:51 S MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:VT
Practice Address - Zip Code:05663-6703
Practice Address - Country:US
Practice Address - Phone:802-485-6121
Practice Address - Fax:802-485-8426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT06073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006391Medicaid
VT0006391Medicaid