Healthcare Provider Details

I. General information

NPI: 1750391991
Provider Name (Legal Business Name): BANGS AMBULANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W GREEN ST
ITHACA NY
14850-5421
US

IV. Provider business mailing address

PO BOX 6445
ITHACA NY
14851-6445
US

V. Phone/Fax

Practice location:
  • Phone: 607-273-1161
  • Fax: 607-277-9281
Mailing address:
  • Phone: 607-277-4911
  • Fax: 607-277-9281

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5411
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number31470
License Number StateNY

VIII. Authorized Official

Name: MR. TIMOTHY F BANGS
Title or Position: PRESIDENT
Credential:
Phone: 607-273-1161