Healthcare Provider Details

I. General information

NPI: 1740256684
Provider Name (Legal Business Name): LEROY AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/15/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 TOUNTAS AVENUE
LE ROY NY
14482-1345
US

IV. Provider business mailing address

8610 MAIN STREET
WILLIAMSVILLE NY
14221-7455
US

V. Phone/Fax

Practice location:
  • Phone: 585-768-8612
  • Fax: 585-768-2200
Mailing address:
  • Phone: 716-204-3350
  • Fax: 716-247-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1813
License Number StateNY

VIII. Authorized Official

Name: DANE R SPRAGUE
Title or Position: PRESIDENT
Credential:
Phone: 585-768-8612