Provider Demographics
NPI:1720129422
Name:FRANKLIN FIRE & RESCUE
Entity Type:Organization
Organization Name:FRANKLIN FIRE & RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CLEMENT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-285-2095
Mailing Address - Street 1:PO BOX 182
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05457-0182
Mailing Address - Country:US
Mailing Address - Phone:802-285-2050
Mailing Address - Fax:
Practice Address - Street 1:5154 MAIN
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:VT
Practice Address - Zip Code:05457
Practice Address - Country:US
Practice Address - Phone:802-285-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT01053416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006377Medicaid
VT0006377Medicaid