Provider Demographics
NPI:1720155245
Name:HARDWICK EMERGENCY RESCUE SQUAD, INC.
Entity Type:Organization
Organization Name:HARDWICK EMERGENCY RESCUE SQUAD, INC.
Other - Org Name:HARDWICK RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:EMTB
Authorized Official - Phone:802-533-2683
Mailing Address - Street 1:PO BOX 837
Mailing Address - Street 2:
Mailing Address - City:HARDWICK
Mailing Address - State:VT
Mailing Address - Zip Code:05843-0837
Mailing Address - Country:US
Mailing Address - Phone:802-472-6721
Mailing Address - Fax:
Practice Address - Street 1:171 CREAMERY RD.
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05843
Practice Address - Country:US
Practice Address - Phone:802-472-6343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0006437OtherVT BCBS
VT0006437Medicaid
VT0006437OtherVT BCBS