Healthcare Provider Details

I. General information

NPI: 1588693279
Provider Name (Legal Business Name): VOLUNTEER AMBULANCE CORPS OF BATH NY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E STEUBEN ST
BATH NY
14810-1622
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 607-776-3156
  • Fax: 607-776-3156
Mailing address:
  • Phone: 315-635-1789
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number10226
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE SMITH
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 607-776-3156