MEDICARE: AMBER 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	341600000X	Ambulance	09848	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
2	590013025	OTHER		PALMETTO GBA

General Provider Information

NPI Number	:	1326021502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBER AMBULANCE INC

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	BALDWINSVILLE
State	:	NY
Zip	:	13027-0535
Country	:	US
Telephone Number	:	315-635-1789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2215 AMBER RD
Second Line	:
City	:	MARIETTA
State	:	NY
Zip	:	13110-3103
Country	:	US
Telephone Number	:	315-636-8283
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. DOUGLAS LAFRANCE
Credential	:
Telephone Number	:	315-636-7745

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	06/21/2013

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Directions to “AMBER AMBULANCE INC ” Practice Location

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