MEDICARE: CENTRAL ORLEANS VOLUNTEER AMBULANCE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	3618	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245206127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL ORLEANS VOLUNTEER AMBULANCE, INC.

Provider Business Mailing Address
First Line	:	239 S MAIN ST
Second Line	:
City	:	ALBION
State	:	NY
Zip	:	14411-1632
Country	:	US
Telephone Number	:	585-589-4163
Fax Number	:	585-589-0263

Provider Business Practice Location Address
First Line	:	239 S MAIN ST
Second Line	:
City	:	ALBION
State	:	NY
Zip	:	14411-1632
Country	:	US
Telephone Number	:	585-589-4163
Fax Number	:	585-589-0263

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	LAURIE J SCHWAB
Credential	:
Telephone Number	:	585-589-4163

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	08/25/2022

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