Provider Demographics
NPI:1144287103
Name:RESCUE INC.
Entity type:Organization
Organization Name:RESCUE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HAZELTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-257-7679
Mailing Address - Street 1:PO BOX 593
Mailing Address - Street 2:541 CANAL ST.
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05302-0593
Mailing Address - Country:US
Mailing Address - Phone:800-488-4351
Mailing Address - Fax:978-346-2721
Practice Address - Street 1:541 CANAL ST
Practice Address - Street 2:
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-6624
Practice Address - Country:US
Practice Address - Phone:802-257-7679
Practice Address - Fax:802-254-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0136341600000X
3416L0300X
VT1305341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH99006470Medicaid
VT006470Medicaid
NH99006470Medicaid