Healthcare Provider Details
I. General information
NPI: 1700869849
Provider Name (Legal Business Name): DONALD MCFEE MEMORIAL AMBULANCE SERVICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/22/2005
Last Update Date: 02/13/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
52 WATSON AVE
MEXICO NY
13114-3009
US
IV. Provider business mailing address
5530 SHERIDAN DR SUITE 3B
WILLIAMSVILLE NY
14221-3730
US
V. Phone/Fax
- Phone: 315-963-7244
- Fax: 315-963-7244
- Phone: 716-204-3350
- Fax: 716-247-5274
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 30743 |
| License Number State | NY |
VIII. Authorized Official
Name:
TODD
WINDEY
Title or Position: DIR. OF OPERATIONS
Credential:
Phone: 315-963-7244