MEDICARE: VILLAGE OF SCOTTSVILLE

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	0875	NY

General Provider Information

NPI Number	:	1609015213
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF SCOTTSVILLE

Provider Business Mailing Address
First Line	:	22 MAIN ST
Second Line	:	PO BOX 36
City	:	SCOTTSVILLE
State	:	NY
Zip	:	14546-1316
Country	:	US
Telephone Number	:	585-889-6050
Fax Number	:	585-889-2505

Provider Business Practice Location Address
First Line	:	385 SCOTTSVILLE MUMFORD RD
Second Line	:
City	:	SCOTTSVILLE
State	:	NY
Zip	:	14546-9712
Country	:	US
Telephone Number	:	585-889-1900
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	MATTHEW JARRETT
Credential	:
Telephone Number	:	585-889-6050

Provider Enumeration Date	:	02/05/2009
Last Update Date	:	03/02/2015

Similar Medicare Providers

1437116506 — MR. AARON JAMES WEBER RPH
Practice Location Address:

3892 SCOTTSVILLE RD
SCOTTSVILLE, NY
14546-1151

Practice Phone: 585-889-8258
Practice Fax: 585-889-4373

1740336387 — WHEATLAND-CHILI CENTRAL SCHOOL DISTRICT
Practice Location Address:

13 BECKWITH AVE , BUSINESS OFFICE
SCOTTSVILLE, NY
14546-1303

Practice Phone: 585-889-6244
Practice Fax: 585-889-6284

1619003498 — JEAN M DOMBROSKI L.AC.
Practice Location Address:

58 MAIN ST
SCOTTSVILLE, NY
14546-1232

Practice Phone: 585-889-9530
Practice Fax:

1659494698 — DR. P WILLIAM HAAKE M.D.
Practice Location Address:

712 QUAKER RD
SCOTTSVILLE, NY
14546-9635

Practice Phone: 585-889-1958
Practice Fax: 585-889-1958

1609030576 — MS. CYNTHIA FAYE CONSAUL LCSW-R
Practice Location Address:

640 NORTH RD
SCOTTSVILLE, NY
14546-1131

Practice Phone: 585-503-1281
Practice Fax: 855-485-1189

1235389453 — DR. HEATHER SPRAGUE PH.D.
Practice Location Address:

437 HUMPHREY RD
SCOTTSVILLE, NY
14546-9604

Practice Phone: 585-889-8137
Practice Fax:

Directions to “VILLAGE OF SCOTTSVILLE ” Practice Location

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