Healthcare Provider Details

I. General information

NPI: 1093545188
Provider Name (Legal Business Name): CAYUGA HEALTH TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 STEUBEN ST
MONTOUR FALLS NY
14865-9740
US

IV. Provider business mailing address

101 DATES DR
ITHACA NY
14850-1342
US

V. Phone/Fax

Practice location:
  • Phone: 607-535-8200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: REBECCA GOULD
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 607-535-7121