Healthcare Provider Details

I. General information

NPI: 1225183486
Provider Name (Legal Business Name): TOWN OF ASHLAND AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 10/25/2024
Certification Date: 10/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12094 ROUTE 23 TOWN OF ASHLAND
ASHLAND NY
12407-0129
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 518-734-3636
  • Fax: 518-734-5834
Mailing address:
  • Phone: 800-927-5845
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number10541
License Number StateNY

VIII. Authorized Official

Name: MR. RICHARD E. TOMPKINS
Title or Position: TOWN SUPERVISOR
Credential:
Phone: 518-734-3636