Provider Demographics
NPI:1134984305
Name:TOWN OF BRATTLEBORO
Entity type:Organization
Organization Name:TOWN OF BRATTLEBORO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-246-4151
Mailing Address - Street 1:103 ELLIOT ST
Mailing Address - Street 2:
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-3215
Mailing Address - Country:US
Mailing Address - Phone:802-254-4831
Mailing Address - Fax:802-257-2328
Practice Address - Street 1:103 ELLIOT ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-3215
Practice Address - Country:US
Practice Address - Phone:802-254-4831
Practice Address - Fax:802-257-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-16
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance