Healthcare Provider Details

I. General information

NPI: 1740281773
Provider Name (Legal Business Name): TOWN OF CAMDEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2005
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 CHURCH ST
CAMDEN NY
13316
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 315-533-0393
  • Fax: 315-532-6790
Mailing address:
  • Phone: 800-927-5845
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNY

VIII. Authorized Official

Name: MR. BENSON COOK
Title or Position: CAPTAIN
Credential:
Phone: 315-813-1000