Provider Demographics
NPI:1134186430
Name:REGIONAL AMBULANCE SERVICE, INC
Entity type:Organization
Organization Name:REGIONAL AMBULANCE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:FINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-773-1746
Mailing Address - Street 1:275 STRATTON RD
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-4625
Mailing Address - Country:US
Mailing Address - Phone:802-773-1746
Mailing Address - Fax:802-773-1717
Practice Address - Street 1:275 STRATTON RD
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4625
Practice Address - Country:US
Practice Address - Phone:802-773-1746
Practice Address - Fax:802-773-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-28
Last Update Date:2017-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT10103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006477Medicaid
VTVT6477Medicare ID - Type UnspecifiedMEDICARE PROVIDER #